Active NPI
Steven Silversparre, MS, SCAT, ATC
- Athletic Trainer
- Conway, SC
National Provider Identifier
1639622954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1624
- Practice address
- 935 One Landon Loop
Conway, SC 29526 - Phone
- (843) 349-2768
- NPI assigned
- Aug 3, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1624 | SC | Primary |
Addresses
Primary practice location
935 One Landon Loop
Conway, SC 29526
Mailing address
PO Box 261954
Conway, SC 29528-6054
Phone (843) 349-2768
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1624 | Other | SC | DHEC |
| BOC266201 | Other | SC | BOC |
| 62103 | Other | SC | NATA |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1624 | SC | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1639622954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 261954",
"city": "CONWAY",
"state": "SC",
"postal_code": "295286054",
"telephone_number": "843-349-2768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 ONE LANDON LOOP",
"city": "CONWAY",
"state": "SC",
"postal_code": "29526",
"telephone_number": "843-349-2768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERSPARRE",
"first_name": "STEVEN",
"credential": "MS, SCAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-03",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "1624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DHEC",
"identifier": "1624",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "BOC266201",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA",
"identifier": "62103",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.