Individual provider Active NPI

Frank Carl Sparacino, D.D.S.

  • Periodontics
  • North Charleston, SC
National Provider Identifier
1235176603
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3960 Issued in SC
Practice address
8730 Northpark Blvd
Building 4, Suite a
North Charleston, SC 29406-9265
Phone
(843) 553-5355
Fax
(843) 797-1718
NPI assigned
Jun 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 3960 SC Primary

Addresses

Primary practice location

8730 Northpark Blvd
Building 4, Suite a
North Charleston, SC 29406-9265

Mailing address

8730 Northpark Blvd
Building 4, Suite a
North Charleston, SC 29406-9265
Phone (843) 553-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171208002108 SC Practitioner - Oral Surgery 0547527046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3960SCMDPharmacist

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235176603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 NORTHPARK BLVD",
            "address_2": "BUILDING 4, SUITE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069265",
            "telephone_number": "843-553-5355",
            "fax_number": "843-797-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 NORTHPARK BLVD",
            "address_2": "BUILDING 4, SUITE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069265",
            "telephone_number": "843-553-5355",
            "fax_number": "843-797-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACINO",
        "first_name": "FRANK",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "3960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.