Organization Active NPI

Sparta Dental Designs

  • General Practice Dentistry
  • Sparta, NJ
National Provider Identifier
1265451447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01305800 Issued in NJ
Legal business name
SPARTA DENTAL DESIGNS
Practice address
16 Lafayette Rd
Sparta, NJ 07871-3512
Phone
(973) 729-2113
Fax
(973) 729-2110
NPI assigned
Jul 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward Michael Tirpack, D.M.D.NPI 1982626313
Title
Owner
Phone
(973) 729-2113

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
General Practice Dentistry 1223G0001X 22DI01305800 NJ Primary

Addresses

Primary practice location

16 Lafayette Rd
Sparta, NJ 07871-3512

Mailing address

16 Lafayette Rd
Sparta, NJ 07871-3512
Phone (973) 729-2113

National Provider Directory

National Provider Directory

Locations

16 Lafayette Rd
Sparta, NJ 07871
Phone (845) 239-2045

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265451447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LAFAYETTE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713512",
            "telephone_number": "973-729-2113",
            "fax_number": "973-729-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LAFAYETTE RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078713512",
            "telephone_number": "973-729-2113",
            "fax_number": "973-729-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTA DENTAL DESIGNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIRPACK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-729-2113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01305800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.