Sparks Chiropractic Services PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2590 Issued in NC

Legal business name

SPARKS CHIROPRACTIC SERVICES PA

Doing business as

SPARKS CHIROPRACTIC

Practice address

3227 Henderson Dr Ext
Jacksonville, NC 28546

Phone

(910) 355-2225

Fax

(910) 355-2225

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

SPARKS CHIROPRACTIC SERVICESAs reported in NPPES

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

Authorized official

Name

Dr. Clayton E Sparks, D.C.NPI 1477517936

Title

Owner

Phone

(910) 355-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SPARKS CHIROPRACTIC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Sparks Chiropractic Services PA

Locations

Practitioners 3

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

• Clayton E Sparks, D.C.

  • Chiropractor
  • Jacksonville, NC
  • NPI 1477517936
  Medicare reassignment Care Compare group NPD Authorized official
• Clayton Jay Sparks, DC

  • Chiropractor
  • Jacksonville, NC
  • NPI 1619758166
  Medicare reassignment Care Compare group NPD
• Paul S. Benveniste, PH.D.

  • Clinical Psychologist
  • Saratoga Springs, NY
  • NPI 1730293739
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1275630311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465251",
            "telephone_number": "910-355-2225",
            "fax_number": "910-355-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 HENDERSON DR EXT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-355-2225",
            "fax_number": "910-355-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS CHIROPRACTIC SERVICES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARKS CHIROPRACTIC SERVICES",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-355-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690278A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPARKS CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Home Health Care Group
• Southeastern Medical Oncology Center
• Mohana Raghunath Sowani, PT
• Sozo Health Pavilion, PA
• Elizabeth Spanburgh
• Clayton E Sparks, D.C.
• Clayton Jay Sparks, DC
• Speech 4 Kidz and More
• Speech 4 Kidz Inc.
• Speech 4 Kidz, Inc

• Chiropractor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.