Individual provider Active NPI

Robert Andrew Sparks, DMD

  • Prosthodontics
  • Leawood, KS
National Provider Identifier
1750623799
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
61139 Issued in KS
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

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 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

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.