Joe David Sparks, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4840 Issued in KY

Practice address

4881 Sugar Maple Dr
48DS
Wpafb, OH 45433-5546

Phone

(937) 256-5889

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275527236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 HILLSDALE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454315670",
            "telephone_number": "618-334-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "48DS",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-256-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "JOE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Albert Smith, AGCNS-BC, CMSRN-BC
• Joshua Taylor Smith, DDS
• Ryan R Smithers, FNP
• Stacy A Solheim, D.O.
• Teresa Dawn Soulati, RPH, BS PHARM
• Kendyl Spence
• Spencer Stanford, DO
• Stephanie Gabrielle Stanley, DO
• Alexandria Staples
• Connor Stauder, DO

• General Practice Dentistry in Wpafb, OH
• Providers in Wpafb, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.