Organization Active NPI

Sparks Chiropractic Inc

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1235284688
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2106 Issued in WA
Legal business name
SPARKS CHIROPRACTIC INC
Practice address
4208 SW Oregon St.
Seattle, WA 98116
Phone
(206) 938-3175
Fax
(206) 938-1848
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Ms. Catherine Joy Sparks, D.CNPI 1508042326
Title
President
Phone
(206) 938-3175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2106 WA Primary

Addresses

Primary practice location

4208 SW Oregon St.
Seattle, WA 98116

Mailing address

4208 SW Oregon St.
Seattle, WA 98116
Phone (206) 938-3175

Other identifiers 2

IdentifierTypeStateIssuer
0046125OtherWADEPT. OF L&I
4210SPOtherWAREGENCE BLUE SHIELD

Other names 1

  • Seaview Chiropractic or Sparks Chiropractic Health Center Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160524000035 WA Part B Supplier - Clinic/Group Practice 9436448917 Receives reassigned benefits from 1 practitioner
Practice locations: Renton, WA; Seattle, WA

National Provider Directory

National Provider Directory

Locations

2806 NE Sunset Blvd
Ste G
Renton, WA 98056
Phone (206) 938-3175

115 Burnett Ave S
Renton, WA 98057
Phone (425) 271-0631

4208 SW Oregon St
Seattle, WA 98116
Phone (206) 395-8362

4204 SW Oregon St
Seattle, WA 98116
Phone (206) 932-2590

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1235284688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 SW OREGON ST.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98116",
            "telephone_number": "206-938-3175",
            "fax_number": "206-938-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 SW OREGON ST.",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98116",
            "telephone_number": "206-938-3175",
            "fax_number": "206-938-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-938-3175",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF L&I",
            "identifier": "0046125",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "4210SP",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaview Chiropractic or Sparks Chiropractic Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.