Spark Dental in, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SPARK DENTAL IN, LLC

Doing business as

Werner Orthodontics

Practice address

9602 E Washington St Ste B
Indianapolis, IN 46229-3060

Phone

(317) 898-7645

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Phi Le

Title

Credentialing Manaer

Phone

(267) 575-2321

Specialties & licenses 1

Addresses

Other names 1

• Werner 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.

• James Volovic, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Indianapolis, IN
  • NPI 1164133377
  NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1679282743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILLOWBROOK LN STE 330",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825594",
            "telephone_number": "267-575-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9602 E WASHINGTON ST STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462293060",
            "telephone_number": "317-898-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK DENTAL IN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "PHI",
        "authorized_official_title_or_position": "CREDENTIALING MANAER",
        "authorized_official_telephone_number": "267-575-2321"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Werner Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Spangler-Berfield, LCSW
• Julian Jason Spangler
• Kristin Rae Spangler, MS
• Tanea Renee Spanton, PTA
• Michele R Spargur, NP
• Spark Recovery of Indiana
• Mary Jo Sparke, LCSW
• Aaron Sparks, DPT
• Adrienne Michelle Sparks, PA
• Brandon Arnold Sparks, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.