Active NPI
Ivy S Sparlin, DDS
- General Practice Dentistry
- Ponca City, OK
National Provider Identifier
1386488690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7932
- Practice address
- 1216 E Hartford Ave Ste 1a
Ponca City, OK 74601-2059 - Phone
- (580) 762-9119
- NPI assigned
- Jun 21, 2024
- Last updated
- Jun 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7932 | OK | Primary |
Addresses
Primary practice location
1216 E Hartford Ave Ste 1a
Ponca City, OK 74601-2059
Mailing address
304 Lonnie Ave
Ponca City, OK 74601-1310
Phone (620) 446-2267
Other practice location 1
327 W South St
Newkirk, OK 74647-6013
Phone (580) 362-2600
Other practice location 2
427 W Doolin Ave
Blackwell, OK 74631-1602
Phone (580) 670-9100
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 |
|---|---|---|---|
| 7932 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newkirk Dental Center,PLLC | Past | Accepting new patients | |
| Newkc PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Newkirk, OK
- NPI 1649523093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1386488690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 LONNIE AVE",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746011310",
"telephone_number": "620-446-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 E HARTFORD AVE STE 1A",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746012059",
"telephone_number": "580-762-9119"
}
],
"practiceLocations": [
{
"address_1": "327 W South St",
"address_purpose": "LOCATION",
"city": "Newkirk",
"state": "OK",
"postal_code": "746476013",
"country_code": "US",
"telephone_number": "580-362-2600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "427 W Doolin Ave",
"address_purpose": "LOCATION",
"city": "Blackwell",
"state": "OK",
"postal_code": "746311602",
"country_code": "US",
"telephone_number": "580-670-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARLIN",
"first_name": "IVY",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-21",
"last_updated": "2024-06-21",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponca City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.