Active NPI
Alexander R. Sparkuhl, M.D.
- Urology Physician
- Las Vegas, NV
National Provider Identifier
1508829383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4211
- Practice address
- 700 Shadow LN
430
Las Vegas, NV 89106-4126 - Phone
- (702) 384-0500
- Fax
- (702) 384-0093
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4211 | NV | Primary |
Addresses
Primary practice location
700 Shadow LN
430
Las Vegas, NV 89106-4126
Mailing address
700 Shadow LN
430
Las Vegas, NV 89106-4126
Phone (702) 384-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002958 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4211 | NV | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1508829383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 SHADOW LN",
"address_2": "430",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064126",
"telephone_number": "702-384-0500",
"fax_number": "702-384-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SHADOW LN",
"address_2": "430",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064126",
"telephone_number": "702-384-0500",
"fax_number": "702-384-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKUHL",
"first_name": "ALEXANDER",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NV",
"license": "4211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002958",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.