NPIMap

Organization Active NPI

William B Sparks DC PC

  • Chiropractor
  • Moore, OK
National Provider Identifier
1497021091
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3290 Issued in OK
Legal business name
WILLIAM B SPARKS DC PC
Practice address
1101 SW 30TH CT
Suite B
Moore, OK 73160-2887
Phone
(405) 759-2233
Fax
(405) 759-2277
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
William B Sparks, DC
Title
President
Phone
(405) 759-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3290 OK Primary

Addresses

Primary practice location

1101 SW 30TH CT
Suite B
Moore, OK 73160-2887

Mailing address

1101 SW 30TH CT
Suite B
Moore, OK 73160-2887
Phone (405) 759-2233

Other names 1

  • Sparks Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sparks Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1101 SW 30th Ct
#B
Moore, OK 73160
Phone (405) 759-2233

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1497021091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SW 30TH CT",
            "address_2": "SUITE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-759-2233",
            "fax_number": "405-759-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SW 30TH CT",
            "address_2": "SUITE B",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602887",
            "telephone_number": "405-759-2233",
            "fax_number": "405-759-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B SPARKS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-759-2233",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparks Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.