Sparks Clinic P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R5954 Issued in MO

Legal business name

SPARKS CLINIC P.C.

Practice address

1410 Crown Dr
Kirksville, MO 63501-2548

Phone

(660) 665-1400

Fax

(660) 665-2081

NPI assigned

Oct 3, 2007

Last updated

Nov 16, 2007By 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

Dr. John Robert Sparks, D.O.NPI 1972609279

Title

Physician

Phone

(660) 665-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Robert Sparks, DO

  • Family Medicine Physician
  • Kirksville, MO
  • NPI 1972609279
  Authorized official Same address or phone

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1215124276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CROWN DR",
            "address_2": "PO BOX 703",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012548",
            "telephone_number": "660-665-1400",
            "fax_number": "660-665-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012548",
            "telephone_number": "660-665-1400",
            "fax_number": "660-665-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "660-665-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DG0675",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi M. Snowbarger, PTA
• Carolyn Allisa Snyder, R.D., L.D.
• Karlie Ann Snyder
• Sherre A Snyder, LPN
• Brandon Jeremy Sorhus
• John Robert Sparks, DO
• Megan Sparks, DMD
• Robert W Sparks, D.O.
• Brent D Speak, DO
• Speech and Language With a Little TLC LLC

• Family Medicine Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.