DR. BRENT SPENCER (NPI# 1578916730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578916730 |
| Entity Type | Individual |
| Full Name | DR. BRENT SPENCER |
| Credential | DDS |
| Practice Address |
3130 E Madison St Suite 103 Seattle WA 98112-4264 |
| Mailing Address |
3104 S Day St Apt 307 Seattle WA 98144-3959 |
| Practice Telephone | 2063230990 |
| Mailing Telephone | 4256815485 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60665106 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861650947 | Brent Austin Spencer | Dermatology | 3535 Victory Group Way, Ste 200, Frisco, TX 75034-6721 | 2008-05-27 |
| Street Address |
3130 E MADISON ST SUITE 103 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124106679 | Inderjeet Kaur Ramgotra | Acupuncturist | 3130 E Madison St, #200, Seattle, WA 98112-4264 | 2006-11-01 |
| 1598189730 | Carla D Curio | Counselor | 3130 E Madison St, Suite 203 A, Seattle, WA 98112-4264 | 2014-02-07 |
| 1467713487 | Connie C. Curlett | Counselor | 3130 E Madison St, #203b, Seattle, WA 98112-4264 | 2012-06-06 |
| 1225329311 | Eva Papp | Counselor | 3130 E Madison St, 203-b, Seattle, WA 98112-4264 | 2011-04-25 |
| 1689991093 | Witold Krassowski IIi | Acupuncturist | 3130 E Madison St, Suite 200, Seattle, WA 98112-4264 | 2010-04-24 |
| 1942484548 | Alison E Withey | Counselor | 3130 E Madison St, Suite 203b, Seattle, WA 98112-4264 | 2007-12-19 |
| 1720202401 | Ty William Etheridge | Dentist | 3130 E Madison St, Suite 103, Seattle, WA 98112-4264 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736028 | Ibraheem M Al Naqshabandy | Dentist | 4747 30th Ave Ne Apt K174, Seattle, WA 98105-4032 | 2020-09-25 |
| 1922614890 | Vicky Herrera | Dentist | 10720 5th Ave Ne Apt 605, Seattle, WA 98125-7258 | 2020-09-16 |
| 1972112514 | Victoria Chang | Dentist | 4437 41st Ave Sw Unit A, Seattle, WA 98116-4218 | 2020-07-29 |
| 1952930281 | Luke Robert Taylor | Dentist | 1959 Ne Pacific Street Hsb Room B241, Seattle, WA 98195-0001 | 2020-04-07 |
| 1700414372 | Morgan Fannon | Dentist | 1959 Ne Pacific Street Hsb# B241, Seattle, WA 98195-0001 | 2020-03-30 |
| 1467089318 | Parham A Tabar | Dentist | 1959 Ne Pacific Street Hsb # B241, Seattle, WA 98195-0001 | 2020-03-23 |
| 1447882725 | Banner Dental | Dentist | 8540 1st Ave Nw Ste. 8, Seattle, WA 98117 | 2020-02-05 |
| 1043872203 | Teja Kotresh Neral | Dentist | 509 Olive Way Ste 1230, Seattle, WA 98101-1745 | 2019-07-08 |
| 1285295022 | Fadi Shaya | Dentist | 4700 42nd Ave Sw Ste 530, Seattle, WA 98116-4561 | 2019-06-24 |
| 1356803662 | Sarah Baik | Dentist | 424 19th Ave E Apt 101, Seattle, WA 98112-5350 | 2019-04-04 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.