Amanda Elspeth Day

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9963 Issued in OR

Practice address

1105 12TH St SE
Salem, OR 97302-2810

Phone

(503) 363-5865

NPI assigned

Mar 20, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amanda Elspeth Adams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spinnaker Pediatric Dentistry PC

  • Pediatric Dentistry
  • Salem, OR
  • NPI 1629343967
  NPD (past)

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

{
    "created_epoch": "1300579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1962701748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11102 SE CAUSEY CIR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864709",
            "telephone_number": "615-497-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022810",
            "telephone_number": "503-363-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "AMANDA",
        "middle_name": "ELSPETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-20",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9963",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9963",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ADAMS",
            "middle_name": "ELSPETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheila Davis
• Shelley Eileen Davis, CADC I, QMHA
• Stephenie Saint Davis, LPC
• William W Davis, PSY D CLINICAL PSYCH
• Whitney Dawkins
• Emily Irene Day
• Jacqueline Caye Day, LMT
• John M Day, CADC II
• Lani Day, LCSW
• Matilda Day, RN, MA, LPC INTERN

• Pediatric Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.