Active NPI
Jon A Spar, MD
- Diagnostic Radiology Physician
- Taos, NM
National Provider Identifier
1275505182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 85-291
- Practice address
- 1397 Weimer Rd
Taos, NM 87571-6253 - Phone
- (575) 758-8883
- Fax
- (303) 468-1394
- NPI assigned
- Feb 3, 2006
- Last updated
- Jan 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 85-291 | NM | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 85-291 | NM |
Addresses
Primary practice location
1397 Weimer Rd
Taos, NM 87571-6253
Mailing address
12687 W Cedar Dr
200
Lakewood, CO 80228-2014
Phone (303) 468-1395
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13797 | Medicaid | NM | |
| PROVP16183 | Other | NM | MOLINA |
| 10001634 | Other | NM | LOVELACE HEALTH/SALUD |
| 293431 | Medicaid | AZ | |
| NM009U95 | Other | NM | BCBS |
| 201009513 | Other | NM | PRESBYTERIAN HEALTH/SALUD |
| P00218005 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85-291 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artesia General Hospital | Past | Accepting new patients | |
| F&S Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Zia Diagnostic Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Pco PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558555003
-
- Diagnostic Radiology Physician
- Sebring, FL
- NPI 1518299957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1275505182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12687 W CEDAR DR",
"address_2": "200",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282014",
"telephone_number": "303-468-1395",
"fax_number": "303-468-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1397 WEIMER RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716253",
"telephone_number": "575-758-8883",
"fax_number": "303-468-1394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAR",
"first_name": "JON",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "85-291",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NM",
"license": "85-291",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13797",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP16183",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH/SALUD",
"identifier": "10001634",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "293431",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM009U95",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH/SALUD",
"identifier": "201009513",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00218005",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.