Active NPI
K. L. Spear, M.D.
- Dermatology Physician
- Bonita Springs, FL
National Provider Identifier
1972776086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME0041540
- Practice address
- 8951 Bonita Beach Rd SE
Suit 525 #101
Bonita Springs, FL 34135-4201 - Phone
- (239) 936-5425
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME0041540 | FL | Primary |
Addresses
Primary practice location
8951 Bonita Beach Rd SE
Suit 525 #101
Bonita Springs, FL 34135-4201
Mailing address
8951 Bonita Beach Rd SE
Suit 525 #101
Bonita Springs, FL 34135-4201
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0041540 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1972776086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8951 BONITA BEACH RD SE",
"address_2": "SUIT 525 #101",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8951 BONITA BEACH RD SE",
"address_2": "SUIT 525 #101",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354201",
"telephone_number": "239-936-5425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "K.",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME0041540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
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- Springsmed LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.