Sparkling Smiles, PC

Primary specialty

DentistTaxonomy code 122300000X

License

019029416 Issued in IL

Legal business name

SPARKLING SMILES, PC

Practice address

903 S Ashland Ave
Apt 1003
Chicago, IL 60607-4002

Phone

(708) 527-8992

NPI assigned

Jan 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sylvia Deek

Title

President

Phone

(708) 527-8992

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1043632623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S ASHLAND AVE",
            "address_2": "APT 1003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074002",
            "telephone_number": "708-527-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S ASHLAND AVE",
            "address_2": "APT 1003",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074002",
            "telephone_number": "708-527-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLING SMILES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "DEEK",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-527-8992"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay T Sparber, LCPC
• Marshall S Sparberg, M.D.
• Kimberly Sparenberg, APRN
• Spark Chicago Therapy LLC
• Leah Kathleen Sparker
• Madison Dominique Sparkman, M.ED
• Allison Sparks, OTR/L
• Gianna Waleska Sparks, MD
• Hayley Thea Sparks, MD
• Kristie Morgan Sparks, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.