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SPENCER WADE
NPI 1316396419
Dentist - Dentist Anesthesiologist in New York, NY

Active since June 09, 2016PECOS Enrolled
345 E 24TH ST, NEW YORK, NY 10010(517) 285-8734 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 7, 2021, Apr 26, 2021 (2 updates tracked since 2021).

About Spencer Wade NPPES

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

SPENCER WADE (NPI 1316396419) is an individual dentist anesthesiologist in New York, New York, licensed in New York (O61371) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1316396419
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameSPENCER WADE
Location Address345 E 24TH STNew York, NY 10010-4020
Mailing Address20 Waterside Plz Apt 36gNew York, NY 10010-2618 · (517) 285-8734
Phone(517) 285-8734
Sole ProprietorNo
Enumeration DateJune 9, 2016
Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2021
✔ NPI 1316396419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Licenses✔ Licensed in NY · O61371✔ Licensed in KY · 10310
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Also ListedDentistTaxonomy 122300000X · License 3705 (OH)
345 E 24TH ST, New York, NY 10010
Open in Google Maps ↗

Secondary Practice Location 1

Location 1305 W 12th AveColumbus, OH 43210-1267 · Phone (517) 285-8734

Other Identifiers 1

Other5172858734OH · The Ohio State University

Accepted Insurance

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

Spencer Wade 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 10010 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 20

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

KEITH CASSAR
Dentist (General Practice)
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
RAMTIN VAFAMANSOURI
Dentist
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
LEENA MAHMOODA MANZOOR
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
DR. AKHIL SAINI DDS
Dentist
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
YOONCHANG KIM
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
AFREEN AHMED
Dentist (General Practice)
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
JEONGYEON CHO
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800
LAUREN PARK
Student in an Organized Health Care Education/Training Program
345 E 24TH ST
NEW YORK, NY 10010
New York County (212) 998-9800

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 Spencer Wade's NPI number?

The NPI number for Spencer Wade is 1316396419. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Spencer Wade located?

Spencer Wade practices at 345 E 24th St, New York, NY 10010. The listed phone number is (517) 285-8734.

What is Spencer Wade's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Is Spencer Wade enrolled in Medicare?

Yes. Spencer Wade is registered in the Medicare PECOS enrollment system.

What insurance does Spencer Wade accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana and 6 other insurers list Spencer Wade 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 Spencer Wade was last updated on September 7, 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.