Organization Active NPI

Sparks Massage LLC

  • Health Maintenance Organization
  • Spokane, WA
National Provider Identifier
1700025293
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MA60058182 Issued in WA
Legal business name
SPARKS MASSAGE LLC
Practice address
101 E Hastings Rd
Spokane, WA 99218-3607
Phone
(509) 340-3303
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Mr. Steven Sparks
Title
Office Manager
Phone
(509) 340-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MA60058182 WA Primary

Addresses

Primary practice location

101 E Hastings Rd
Spokane, WA 99218-3607

Mailing address

101 E Hastings Rd
Spokane, WA 99218-3607
Phone (509) 340-3303

Other names 1

  • Elements Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elements Therapeutic Massage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1700025293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E HASTINGS RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183607",
            "telephone_number": "509-340-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E HASTINGS RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183607",
            "telephone_number": "509-340-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-340-3303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "MA60058182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elements Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.