SPENCER J FADDIS DDS
NPI 1780050971
Dentist in Las Vegas, NV

Q: What is Spencer Faddis's NPI number?

The NPI number for Spencer Faddis is 1780050971. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Q: What is Spencer Faddis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Spencer Faddis was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 11, 2015PECOS Enrolled

10870 W CHARLESTON BLVD, 170, LAS VEGAS, NV 89135(702) 254-6412(702) 254-9558 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spencer J Faddis Dds NPPES

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

SPENCER J FADDIS DDS (NPI 1780050971) is an individual dentist in Las Vegas, Nevada, licensed in Nevada (6658) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780050971

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSPENCER J FADDISCredential: DDS

Location Address10870 W CHARLESTON BLVD, 170Las Vegas, NV 89135-1158

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(702) 254-6412

Fax(702) 254-9558

Sole ProprietorNo

Enumeration DateAugust 11, 2015

✔ NPI 1780050971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NV · 6658

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.

10870 W CHARLESTON BLVD, Las Vegas, NV 89135

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life 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 J Faddis Dds 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 89135 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

SHAHRESTANI CANYON POINTE DENTAL GROUP PC

Dentist (General Practice)

10870 W CHARLESTON BLVD, STE 170
LAS VEGAS, NV 89135

Clark County (702) 254-6412

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 Faddis's NPI number?

The NPI number for Spencer Faddis is 1780050971. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Spencer Faddis located?

Spencer Faddis practices at 10870 W Charleston Blvd 170, Las Vegas, NV 89135. The listed phone number is (702) 254-6412.

What is Spencer Faddis's specialty?

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

Is Spencer Faddis enrolled in Medicare?

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

What insurance does Spencer Faddis accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 8 other insurers list Spencer Faddis 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 Faddis was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.