Individual provider Active NPI

Keith Leroy Sparks, D.C.

  • Chiropractor
  • Bakersfield, CA
National Provider Identifier
1114098860
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC23991 Issued in CA
Practice address
8201 Camino Media
Suite 200
Bakersfield, CA 93311-1354
Phone
(661) 665-1800
Fax
(661) 765-1421
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC23991 CA Primary

Addresses

Primary practice location

8201 Camino Media
Suite 200
Bakersfield, CA 93311-1354

Mailing address

8201 Camino Media
Suite 200
Bakersfield, CA 93311-1354
Phone (661) 665-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000249 CA Practitioner - Chiropractic 2466628557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1107 Kern St
Taft, CA 93268-4603
Phone (661) 765-2225

8501 Camino Media
Suite 200
Bakersfield, CA 93311-1357
Phone (661) 665-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23991CAMDClinical Social Worker
DC23991CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Chiropractic Inc. Chiropractor CurrentSince Aug 31, 1995 Accepting new patients

Locations

8501 Camino Media
Ste 200
Bakersfield, CA 93311
Phone (661) 665-1800

1107 Kern St
Ste 7
Taft, CA 93268
Phone (661) 765-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1114098860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 CAMINO MEDIA",
            "address_2": "SUITE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111354",
            "telephone_number": "661-665-1800",
            "fax_number": "661-765-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CAMINO MEDIA",
            "address_2": "SUITE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111354",
            "telephone_number": "661-665-1800",
            "fax_number": "661-765-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KEITH",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC23991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.