Active NPI
Keith Sparks, DC
- Chiropractor
- Wichita, KS
National Provider Identifier
1649659467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05719
- Practice address
- 7829 E Rockhill St
Ste 303
Wichita, KS 67206-3914 - Phone
- (316) 854-3010
- Fax
- (316) 854-1029
- NPI assigned
- May 26, 2015
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05719 | KS | Primary |
Addresses
Primary practice location
7829 E Rockhill St
Ste 303
Wichita, KS 67206-3914
Mailing address
7829 E Rockhill St
Ste 303
Wichita, KS 67206-3914
Phone (316) 854-3010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160809000270 | KS | Practitioner - Chiropractic | 5294029625 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7829 E Rockhill St
Suite 303
Wichita, KS 67206-3914
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1649659467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7829 E ROCKHILL ST",
"address_2": "STE 303",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063914",
"telephone_number": "316-854-3010",
"fax_number": "316-854-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7829 E ROCKHILL ST",
"address_2": "STE 303",
"city": "WICHITA",
"state": "KS",
"postal_code": "672063914",
"telephone_number": "316-854-3010",
"fax_number": "316-854-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "KEITH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.