Suzanne Segebarth Spencer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8295 Issued in KY

Practice address

2100 N Main St
Madisonville, KY 42431-9007

Phone

(270) 825-2686

Fax

(270) 821-7306

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1972694958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NORTH MAIN STREET",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "42431",
            "telephone_number": "270-825-2686",
            "fax_number": "270-821-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319007",
            "telephone_number": "270-825-2686",
            "fax_number": "270-821-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SUZANNE",
        "middle_name": "SEGEBARTH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60003654",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Alexis Soriano, PA-C
• South Main Clinic LLC
• Carla South
• Denise H Sparks, APRN
• Summer Sparks, MEDICAL STUDENT
• Lori Whitnell Spraggs, RD, LD
• Douglas Sprague, M.D.
• Lorrie F Springer, CRNA
• Deanna Spurlock
• Bhaskaran N Sreekumar, M.D.

• General Practice Dentistry in Madisonville, KY
• Providers in Madisonville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.