Clovis Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CLOVIS ORTHODONTICS, PLLC

Doing business as

Sparkman Orthodontics

Practice address

901 E 21St St Ste a
Clovis, NM 88101-4492

Phone

(575) 763-1101

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Kyle Sparkman, DDS, MSNPI 1528288370

Title

Owner

Phone

(806) 355-9732

Specialties & licenses 1

Addresses

Other names 1

• Sparkman Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Kyle Sparkman, M.S.

  • Dentist
  • Amarillo, TX
  • NPI 1528288370
  NPD Authorized official

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1568063576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 SW 45TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196299",
            "telephone_number": "806-355-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 21ST ST STE A",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014492",
            "telephone_number": "575-763-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVIS ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SPARKMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-355-9732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparkman Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clovis Hospital Dentistry PC
• Clovis Medical Associates LLC
• Clovis Municipal Schools
• Clovis Municipal Schools
• Clovis Municipal Schools
• Clovis Quickcare LLC
• Clovis Surgery Center LLC
• Clovis Surgery Center LLC
• Clovis Surgery Center NM LLC
• Clovis VA Outpatient Care Clinic

• Orthodontics and Dentofacial Orthopedics Dentistry in Clovis, NM
• Providers in Clovis, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.