Individual provider Active NPI

Harlan Sparer, D.C.

  • Chiropractor
  • Sedona, AZ
National Provider Identifier
1467585265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4505 Issued in AZ
Practice address
325 Inspirational Dr
Sedona, AZ 86336-5644
Phone
(928) 282-2824
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4505 AZ Primary

Addresses

Primary practice location

325 Inspirational Dr
Sedona, AZ 86336-5644

Mailing address

325 Inspirational Dr
Sedona, AZ 86336-5644
Phone (928) 282-2824

Other identifiers 1

IdentifierTypeStateIssuer
DC4505OtherAZLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000021 AZ Practitioner - Chiropractic 5890710305 Practice locations: Tempe, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5308 S Heather Dr
Tempe, AZ 85283-2252
Phone (480) 245-7894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4505AZMDChiropractor
4505AZMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467585265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 INSPIRATIONAL DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365644",
            "telephone_number": "928-282-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 INSPIRATIONAL DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365644",
            "telephone_number": "928-282-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARER",
        "first_name": "HARLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC4505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC4505",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

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.
  • 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.