Rodney Lee Sparks, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4506 Issued in KY

Practice address

657 Lone Oak Rd
#6
Paducah, KY 42003-4547

Phone

(270) 442-4054

Fax

(270) 442-4055

NPI assigned

Jan 15, 2007

Last updated

Mar 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Paducah Chiropractic Center PSCGroup PAC ID 2961644414, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Paducah Chiropractic Center, PSC

  • Chiropractor
  • Paducah, KY
  • NPI 1477985000
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1316098601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 LONE OAK RD",
            "address_2": "#6",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034547",
            "telephone_number": "270-442-4054",
            "fax_number": "270-442-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 LONE OAK RD",
            "address_2": "#6",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034547",
            "telephone_number": "270-442-4054",
            "fax_number": "270-442-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "RODNEY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100155010",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA #",
            "identifier": "350051599",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS UPIN",
            "identifier": "000000197545",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "TT84",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southfork Counseling PLLC
• Southside Family Chiropractic
• Kelly Lynn Sowers
• Gracie Sparks
• Michael C Sparks, D.M.D.
• Albert Speach, M.D.
• Kelly M Spearman
• Speech Therapy Services
• Rebecca J Spencer, MD
• Daly Lynn Spicer

• Chiropractor in Paducah, KY
• Providers in Paducah, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.