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SPENCER GLEN WADE D.D.S.
NPI 1487893988
Dentist - General Practice in Roy, UT

Active since February 07, 2009PECOS Enrolled
5139 S 1900 W, ROY, UT 84067(801) 773-7721(801) 773-1657 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 7, 2017 (3 updates tracked since 2017).

About Spencer Glen Wade D.d.s. NPPES

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

SPENCER GLEN WADE D.D.S. (NPI 1487893988) is an individual general practice provider in Roy, Utah, licensed in Utah (7033505-9921-8903) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hooper.

NPPES Registry Identity

NPI1487893988
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSPENCER GLEN WADECredential: D.D.S.
Location Address5139 S 1900 WRoy, UT 84067-2997
Mailing Address5139 S. 1900 W.Roy, UT 84067 · (801) 773-7721 · Fax (801) 773-1657
Phone(801) 773-7721
Fax(801) 773-1657
Sole ProprietorYes
Enumeration DateFebruary 7, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1487893988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 7033505-9921-8903
Definition
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.
5139 S 1900 W, Roy, UT 84067
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Secondary Practice Location 1

Location 15621 S 7500 WHooper, UT 84315-9746 · Phone (801) 820-5777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 Glen Wade 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 84067 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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

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

BRENT JAY ISAKSON D.M.D.
Dentist (General Practice)
5139 S 1900 W
ROY, UT 84067
Weber County (801) 773-8212

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 1487893988. It was assigned to this individual provider in the NPPES registry on February 7, 2009.

Where is Spencer Wade located?

Spencer Wade practices at 5139 S 1900 W, Roy, UT 84067. The listed phone number is (801) 773-7721.

What is Spencer Wade's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

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 Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.