Ryan David Sparks, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7602 Issued in OR

Practice address

2635 NW Rolling Green Dr
Corvallis, OR 97330-3519

Phone

(541) 754-9322

Fax

(541) 754-4940

NPI assigned

Aug 10, 2005

Last updated

Jul 13, 2026By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Corvallis Sport and Spine Physical Therapy Inc

  dba Albany Sport and Spine Physical Therapy

  • Physical Therapist
  • Albany, OR
  • NPI 1477991149
  NPD (past)
• Corvallis Sport and Spine Physical Therapy Inc

  • Physical Therapist
  • Corvallis, OR
  • NPI 1841388170
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417958653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 NW ROLLING GREEN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303519",
            "telephone_number": "541-754-9322",
            "fax_number": "541-754-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 NW ROLLING GREEN DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303519",
            "telephone_number": "541-754-9322",
            "fax_number": "541-754-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1329915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Pain Alliance (Black Stone Health)
• Trevor Lee Spangle
• Junita T Spann, RN
• Stefan Spann
• Chase True-Love Sparks
• Peter D Spaulding, PT
• Adam B Specht, P.A.
• Haley Maree Spector, DO
• Samantha D Spencer
• Edith L Sperling, PT, DPT

• General Practice Dentistry in Corvallis, OR
• Providers in Corvallis, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.