Active NPI
Ronnie James Sparks, DDS, MS
- Dentist
- Charleston, WV
National Provider Identifier
1114156320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3852
- Practice address
- 208 Leon Sullivan Way
Charleston, WV 25301 - Phone
- (304) 342-1181
- Fax
- (304) 342-4009
- NPI assigned
- Jul 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3852 | WV | Primary |
Addresses
Primary practice location
208 Leon Sullivan Way
Charleston, WV 25301
Mailing address
208 Leon Sullivan Way
Charleston, WV 25301
Phone (304) 342-1181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3852 | WV | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. William Christopher Taylor, PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charleston, WV
- NPI 1073874806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1114156320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LEON SULLIVAN WAY",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-342-1181",
"fax_number": "304-342-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LEON SULLIVAN WAY",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25301",
"telephone_number": "304-342-1181",
"fax_number": "304-342-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "RONNIE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-09",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.