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DR. JORDAN MITCHELL SPAVOR D.D.S.
NPI 1043983562
Dentist in Lawrence, MI

Active since July 29, 2021PECOS Enrolled
260 SOUTH ST, LAWRENCE, MI 49064(269) 621-3143 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jordan Mitchell Spavor D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN MITCHELL SPAVOR D.D.S. (NPI 1043983562) is an individual dentist in Lawrence, Michigan, licensed in Michigan (2901601054) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043983562
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JORDAN MITCHELL SPAVORCredential: D.D.S.
Location Address260 SOUTH STLawrence, MI 49064-9325
Mailing Address8022 Lake Wood DrPortage, MI 49002-5565 · (313) 571-4008
Phone(269) 621-3143
Sole ProprietorNo
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1043983562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901601054
Definition
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.
260 SOUTH ST, Lawrence, MI 49064
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Mitchell Spavor D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNA MARIE CHIPMAN-BERGSMA DDS
Dentist (General Practice)
260 SOUTH ST
LAWRENCE, MI 49064
Van Buren County (269) 621-3143
VAN BUREN/CASS DISTRICT HEALTH DEPARTMENT
Public Health or Welfare
260 SOUTH ST
LAWRENCE, MI 49064
Van Buren County (269) 621-3143
VAN BUREN-CASS COUNTY DISTRICT HEALTH DEPARTMENT
Public Health or Welfare
260 SOUTH ST
LAWRENCE, MI 49064
Van Buren County (269) 621-3143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Spavor's NPI number?

The NPI number for Jordan Spavor is 1043983562. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Jordan Spavor located?

Jordan Spavor practices at 260 South St, Lawrence, MI 49064. The listed phone number is (269) 621-3143.

What is Jordan Spavor's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jordan Spavor enrolled in Medicare?

Yes. Jordan Spavor is registered in the Medicare PECOS enrollment system.

What insurance does Jordan Spavor accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Jordan Spavor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Spavor was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.