Active NPI
Iris Elizabeth Spears, DOCTOR OF AUDIOLOGY
- Audiologist
- Portland, OR
National Provider Identifier
1952458531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 21812
- Practice address
- 707 SW Gaines St
Mailcode: CDRC
Portland, OR 97239-2901 - Phone
- (503) 418-5206
- Fax
- (503) 418-5203
- NPI assigned
- Jan 4, 2007
- Last updated
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 21812 | OR | Primary |
Addresses
Primary practice location
707 SW Gaines St
Mailcode: CDRC
Portland, OR 97239-2901
Mailing address
707 SW Gaines St
Mailcode: CDRC
Portland, OR 97239-2901
Phone (503) 418-5206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208331 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21812 | OR | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1952458531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 SW GAINES ST",
"address_2": "MAILCODE: CDRC",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392901",
"telephone_number": "503-418-5206",
"fax_number": "503-418-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 SW GAINES ST",
"address_2": "MAILCODE: CDRC",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392901",
"telephone_number": "503-418-5206",
"fax_number": "503-418-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "IRIS",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DOCTOR OF AUDIOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OR",
"license": "21812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208331",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.