Active NPI
Robert Andrew Sparks, DMD
- Prosthodontics
- Leawood, KS
National Provider Identifier
1750623799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 61139
- Practice address
- 11401 Nall Ave Ste 102
Leawood, KS 66211-1850 - Phone
- (913) 705-5599
- NPI assigned
- Mar 16, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 61139 | KS | Primary |
Addresses
Primary practice location
11401 Nall Ave Ste 102
Leawood, KS 66211-1850
Mailing address
12360 S Race St
Olathe, KS 66061-7823
Phone (660) 216-2514
Other practice location 1
4650 W 90th Ter
Prairie Village, KS 66207-2308
Phone (913) 642-0000
Other practice location 2
19401 E US Highway 40
Independence, MO 64055-5451
Phone (816) 795-7007
Other practice location 3
1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-3770
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jon M. Finley, D.D.S., P.C. | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthodontics
- Prairie Village, KS
- NPI 1386672939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1750623799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12360 S RACE ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660617823",
"telephone_number": "660-216-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 NALL AVE STE 102",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111850",
"telephone_number": "913-705-5599"
}
],
"practiceLocations": [
{
"address_1": "4650 W 90th Ter",
"address_purpose": "LOCATION",
"city": "Prairie Village",
"state": "KS",
"postal_code": "662072308",
"country_code": "US",
"telephone_number": "913-642-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19401 E US Highway 40",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640555451",
"country_code": "US",
"telephone_number": "816-795-7007",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 15th St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309120004",
"country_code": "US",
"telephone_number": "706-721-3770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPARKS",
"first_name": "ROBERT",
"middle_name": "ANDREW",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-16",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "KS",
"license": "61139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
- Emily Deann Souter, M.A., CCC-SLP
- Andrea Megan Southard, OTR/L
- Sowjanya Duthuluru
- Nathaniel Dennis Spain, OTR/L
- Joseph Robert Spaniol, M.D.
- Joanna M Spears, MA, LPC, NCC
- Sydney Elizabeth Spears, PH.D, LCSW, LSCSW
- Special Care Dental of Kansas, LLC
- Special Care Dental of Missouri LLC
- Speech Therapy Consultants of Kansas City, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.