Christa D. Spann DMD, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5020 Issued in AL

Legal business name

CHRISTA D. SPANN DMD, LLC

Practice address

5415 Summerville Rd
Suite B
Phenix City, AL 36867-7401

Phone

(334) 297-7100

Fax

(334) 297-7065

NPI assigned

Mar 28, 2007

Organization subpart

Yes

Parent organization

CHRISTA D. SPANN DMD LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christa D. Spann, D.M.DNPI 1740330273

Title

Owner

Phone

(334) 297-7100

Specialties & licenses 1

Addresses

Part of

Christa D Spann DMD LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christa D Spann, D.M.D.

  • General Practice Dentistry
  • Phenix City, AL
  • NPI 1740330273
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1962521229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SUMMERVILLE RD",
            "address_2": "SUITE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677401",
            "telephone_number": "334-297-7100",
            "fax_number": "334-297-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 SUMMERVILLE RD",
            "address_2": "SUITE B",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368677401",
            "telephone_number": "334-297-7100",
            "fax_number": "334-297-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA D. SPANN DMD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTA D. SPANN DMD LLC",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "SPANN",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-297-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changing Lives, Inc.
• Chattahoochee Valley Family
• Chattahoochee Valley Home Health, LLC (Centerwell Home Health)
• Chimed Rehab Ficpc, PLLC
• Chimed Rehab Phenix City
• Bryce Andrew Ciancio, ATC/L
• Corey Eugene Claiborne, DPT
• Theresa Carlisle Clark, REGISTERED NURSE
• Columbus Ambulatory Healthcare Services, Inc.
• Columbus Hospice of Alabama

• General Practice Dentistry in Phenix City, AL
• Providers in Phenix City, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.