Organization Active NPI

Lisa Sparks, MD, PC

  • Pain Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1447403753
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
13545 Issued in AZ
Legal business name
LISA SPARKS, MD, PC
Practice address
14001 N 7TH St
B-104
Phoenix, AZ 85022-4382
Phone
(602) 993-2959
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Lisa Sparks, MD
Title
Owner
Phone
(602) 993-2959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 13545 AZ Primary

Addresses

Primary practice location

14001 N 7TH St
B-104
Phoenix, AZ 85022-4382

Mailing address

14001 N 7TH St
B-104
Phoenix, AZ 85022-4382
Phone (602) 993-2959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1447403753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 N 7TH ST",
            "address_2": "B-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224382",
            "telephone_number": "602-993-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 N 7TH ST",
            "address_2": "B-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224382",
            "telephone_number": "602-993-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA SPARKS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-993-2959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "13545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.