Active NPI
Ann Baker Sparks, DDS
- Dentist
- Cordova, TN
National Provider Identifier
1659434306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS00004664
- Practice address
- 247 Germantown Bend CV
Cordova, TN 38018-7238 - Phone
- (901) 754-0942
- Fax
- (901) 752-5614
- NPI assigned
- Dec 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS00004664 | TN | Primary |
Addresses
Primary practice location
247 Germantown Bend CV
Cordova, TN 38018-7238
Mailing address
247 Germantown Bend CV
Cordova, TN 38018-7238
Phone (901) 754-0942
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS00004664 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659434306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 GERMANTOWN BEND CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187238",
"telephone_number": "901-754-0942",
"fax_number": "901-752-5614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 GERMANTOWN BEND CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187238",
"telephone_number": "901-754-0942",
"fax_number": "901-752-5614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "ANN",
"middle_name": "BAKER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS00004664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.