Active NPI
Geoff Sparks
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oklahoma City, OK
National Provider Identifier
1306866371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5677
- Practice address
- 10914 Hefner Pointe Dr
Suite 300
Oklahoma City, OK 73120-5066 - Phone
- (405) 947-1526
- Fax
- (405) 946-2460
- NPI assigned
- Jul 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5677 | OK | Primary |
Addresses
Primary practice location
10914 Hefner Pointe Dr
Suite 300
Oklahoma City, OK 73120-5066
Mailing address
10914 Hefner Pointe Dr
Suite 300
Oklahoma City, OK 73120-5066
Phone (405) 947-1526
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5677 | OK | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthodontic Associates | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Oklahoma City, OK
- NPI 1215939004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306866371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10914 HEFNER POINTE DR",
"address_2": "SUITE 300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205066",
"telephone_number": "405-947-1526",
"fax_number": "405-946-2460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10914 HEFNER POINTE DR",
"address_2": "SUITE 300",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731205066",
"telephone_number": "405-947-1526",
"fax_number": "405-946-2460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "GEOFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OK",
"license": "5677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- 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.