Dawn Allison Sparks, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

14574 Issued in NH

Practice address

4366 Kukui Grove St Ste 202
Lihue, HI 96766

Phone

(808) 977-2700

Fax

(808) 241-7626

NPI assigned

Apr 1, 2008

Last updated

Jul 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17248/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Healing LLC

  • Pain Medicine (Anesthesiology) Physician
  • Lihue, HI
  • NPI 1205334141
  Medicare reassignment NPD Authorized official
• Spectrumcare Rehabilitation Medical Center

  dba Napa Pain Institute

  • Pain Medicine Physician
  • Napa, CA
  • NPI 1477578201

  HI

  Medicare reassignment NPD
• Spectrumcare Rehabilitation Medical

  dba Napa Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • Napa, CA
  • NPI 1962890103
  NPD

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1700058559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST STE 202",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-977-2700",
            "fax_number": "808-241-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST STE 202",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "808-977-2700",
            "fax_number": "808-241-7626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4366 Kukui Grove St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967662006",
            "country_code": "US",
            "telephone_number": "340-778-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "DAWN",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NH",
            "license": "14574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30227661",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016792",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Smith
• Kandi T Smith, CRNA
• Markland Soliva
• Raisa Soriano, M.S., CCC-SLP
• Bernadine Souza
• Daniel George Spicer, D.O., M.P.H.
• Anna Maria Spivak, MS REC ADMIN
• St. Francis Community Health Services
• St. Francis Medical Center - Kauai Dialysis
• State of Hawaii Department of Health (Kauai Community Mental Health Center)

• Pain Medicine (Anesthesiology) Physician in Lihue, HI
• Providers in Lihue, HI by specialty
• Pain Medicine (Anesthesiology) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.