Nathan Spencer, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DI02474100 Issued in NJ

Practice address

15 E Euclid Ave
Haddonfield, NJ 08033-2300

Phone

(856) 795-4600

Fax

(856) 795-4697

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 27, 2018 through Dec 27, 2026

Medicare enrollment (NPD)

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.

• Cincinnati Oral & Maxillofacial Surgery Assoc., Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cincinnati, OH
  • NPI 1861685968
  NPD (past)
• Cincinnati Oral &Maxillofacial Surgery Assoc.,Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cincinnati, OH
  • NPI 1215120324
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1982893301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E EUCLID AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332300",
            "telephone_number": "856-795-4600",
            "fax_number": "856-795-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E EUCLID AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080332300",
            "telephone_number": "856-795-4600",
            "fax_number": "856-795-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "2633",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "DI02474100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Ruth Sokoloff, MSW, LCSW
• South Jersey Counseling Associates, Inc.
• South Jersey Spine & Sport LLC
• South Jersey Sports Chiropractic LLC
• Sparrow'S Solace Therapy Services LLC
• Shelley Elizabeth Stahl I, MSW,LCSW
• Lisa Marie Stammerjohann, MA, LPC
• Shlomo M. Stemmer, M.D.
• Stephen Leonard Stern, PH.D.
• Steven Bisgaier, PSYD LLC

• Oral and Maxillofacial Surgery (Dentist) in Haddonfield, NJ
• Providers in Haddonfield, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.