Spark Biomedical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPARK BIOMEDICAL

Practice address

4428 Irvin Simmons Dr
Dallas, TX 75229-4247

Phone

(214) 842-9516

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris Hanna

Title

Chief Operations Officer

Phone

(214) 842-9516

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1205431657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 IRVIN SIMMONS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294247",
            "telephone_number": "214-842-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 IRVIN SIMMONS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752294247",
            "telephone_number": "214-842-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK BIOMEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "214-842-9516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Casey Spangler, LMT
• Kaymie Kathleen Spangler, MS,LPC-A
• Michael Gregory Spann, M.D.
• Jeffrey Edward Spapperi, D.C.
• Spark and Pivot LLC (Spark and Pivot Counseling)
• Sparkle Dental Center
• Sparkle Dental Center - Grand
• Sparkle Dental Center Associates PC
• Sparkle Dental Center at Ferguson PC
• Caroline Buckner Sparkman, MD

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.