DR. JESSICA LAUREN SPINELLA (NPI# 1801156591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801156591 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LAUREN SPINELLA |
| Credential | DMD |
| Practice Address |
910 Erie Blvd E Syracuse NY 13210 |
| Mailing Address |
910 Erie Blvd E Syracuse NY 13210-1048 |
| Practice Telephone | 3154252468 |
| Mailing Telephone | 3154252468 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
056643-1 | NY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
056643-1 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 423 East 23rd St, Va Ny Harbor, New York, NY 10010 | (212) 686-7500 | |
| 5020 Lake Shore Rd, Hamburg, NY 140755719 | 7166277200 |
| Street Address |
910 ERIE BLVD E |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932271251 | Central New York Dc, LLC | Clinic/Center | 910 Erie Blvd E, Syracuse, NY 13210-1060 | 2006-11-14 |
| 1285978999 | Knickerbocker Dialysis Inc | Clinic/Center | 910 Erie Blvd E, Syracuse, NY 13210-1048 | 2012-11-19 |
| 1114226552 | Jennifer Zingaro | Dietitian, Registered | 910 Erie Blvd E, Cny Dialysis Center, Syracuse, NY 13210-1048 | 2011-03-24 |
| 1295992824 | Colleen Mary Krause | Social Worker | 910 Erie Blvd E, Syracuse, NY 13210-1060 | 2008-05-21 |
| 1467632182 | Medical Pain Management of Cny, PC | Anesthesiology | 910 Erie Blvd E, Syracuse, NY 13210-1060 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518262773 | Stanley M. Kaplan | Dentist | 600 E. Genesee St., Suite 113, Syracuse, NY 13202 | 2011-01-20 |
| 1912919184 | Endodontic Associates PC | Dentist | 600 East Genesee St, Suite 113, Syracuse, NY 13202 | 2006-08-13 |
| 1780048868 | Intermountain Dental Specialists, LLC | Dentist | 1747 Heritage Ln, Syracuse, UT 84075-8552 | 2016-04-05 |
| 1124210919 | Kevin Mark Fahey | Dentist | 600 East Genesee St, Syracuse, NY 13202 | 2007-08-15 |
| 1669663316 | Michael Robert Moynihan | Dentist | 600 East Genesee Street, Suite #113, Syracuse, NY 13202 | 2007-08-07 |
| 1164620951 | William Perry Baker IIi | Dentist | 600 E Genesee St, Ste 113, Syracuse, NY 13202-3130 | 2007-07-03 |
| 1336344829 | Gregory Scott Warne | Dentist | 600 East Genesee Street, Suite 113, Syracuse, NY 13202-3108 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| Find all providers with the same taxonomy | ||||
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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.