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Deactivated NPI 1124148465 Deactivated / Inactive NPI Male Practitioner

Dr. Brian Rodney Spencer , DDS

Dentist - General Practice • La Grande, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brian Spencer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 30, 2007
NPI Deactivation Date February 10, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Brian Spencer, DDS was a registered Dentist - General Practice practicing in La Grande, OR. Throughout an active medical career spanning 15 years, Dr. Spencer provided care at the practice location at 1501 6TH ST until profile deactivation on 2022-02-10.

Practice Location & Contact Primary Location

Practice Address

1501 6th St

La Grande, OR 97850

Telephone 5419632520
Fax 5419632520
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Grande, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
6 Specialists

Practicing in La Grande, OR (1994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D3907

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Jessie Wise , CRM

Peer Specialist

NPI 1174012041
Michelle Frizzell , CADC II, CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1184084188

CADCII, CRM

Douglas Whipple , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1275993313

CADCI

NPI 1396367280
Amber Diederich , CADC I, CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1508310384

CADCI, CRM

Abigail Brown , CRM

Peer Specialist

NPI 1588267678

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 10, 2022

Record deactivated on February 10, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1501 6TH ST, LA GRANDE, OR 97850 (Tel: 5419632520)

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Updated Business Mailing Address July 08, 2007

Registered at 1501 6TH ST, LA GRANDE, OR 97850 (Tel: 5419632520)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN SPENCER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D3907 in OR)

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Initial NPI Registration & Enumeration March 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124148465
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: July 08, 2007
Deactivation Date: February 10, 2022

Mailing Address

1501 6th St

La Grande, OR 97850

Phone: 5419632520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.