Individual provider Active NPI

James A Sparks, D.D.S.

  • General Practice Dentistry
  • Warr Acres, OK
National Provider Identifier
1487782488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4772 Issued in OK
Practice address
5804 NW Expressway St
Warr Acres, OK 73132-5239
Phone
(405) 721-1300
Fax
(405) 721-2613
NPI assigned
Mar 1, 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
General Practice Dentistry 1223G0001X 4772 OK Primary

Addresses

Primary practice location

5804 NW Expressway St
Warr Acres, OK 73132-5239

Mailing address

5804 NW Expressway St
Warr Acres, OK 73132-5239
Phone (405) 721-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126000356 OK Order and Referring Only - DentistPractitioner - Dentist 0547542664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4772OKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487782488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 NW EXPRESSWAY ST",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325239",
            "telephone_number": "405-721-1300",
            "fax_number": "405-721-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 NW EXPRESSWAY ST",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325239",
            "telephone_number": "405-721-1300",
            "fax_number": "405-721-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warr Acres, OK

Sources for this page

Verify at the official NPI Registry.