Spencer and Spencer DMD PS

Primary specialty

DentistTaxonomy code 122300000X

License

DE00010963 Issued in WA

Legal business name

SPENCER AND SPENCER DMD PS

Doing business as

Spencer Family Dental

Practice address

3910 Martin Way E
Suite A1
Olympia, WA 98506-5220

Phone

(360) 459-1333

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Anna K Spencer, DMD

Title

Dentist

Phone

(253) 279-1877

Specialties & licenses 2

Addresses

Other names 1

• Spencer Family Dental Doing business as

Locations

Practitioners 1

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

• Jonathan Myles Lara, DDS

  • Dentist
  • Olympia, WA
  • NPI 1285518399
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1972988137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 MARTIN WAY E",
            "address_2": "SUITE A1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065220",
            "telephone_number": "360-459-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 MARTIN WAY E",
            "address_2": "SUITE A1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065220",
            "telephone_number": "360-459-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER AND SPENCER DMD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-279-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010963",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spencer Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Speech Therapy Associates Northwest
• Jenna Leigh Spegele, AU.D.
• Rachel Loretta Spelz, AU.D.
• Kevin J. Spence, MD
• Noel M Spence, PH
• Dean Spencer
• Nicole Alisha Spencer, RN, CNOR, RNFA
• Devin Spera, M.D.
• Ronald Spiegel, MD
• Marchell Rene Spielmann, ARNP

• Dentist in Olympia, WA
• Providers in Olympia, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.