Active NPI
Kevin Alan Sparks, D.C.
- Chiropractor
- Mission, TX
National Provider Identifier
1770674863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6335
- Practice address
- 1001 Miller Ave
Mission, TX 78572-4139 - Phone
- (956) 580-1161
- Fax
- (956) 580-9992
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6335 | TX | Primary |
Addresses
Primary practice location
1001 Miller Ave
Mission, TX 78572-4139
Mailing address
1001 Miller Ave
Mission, TX 78572-4139
Phone (956) 580-1161
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6335 | TX | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770674863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MILLER AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785724139",
"telephone_number": "956-580-1161",
"fax_number": "956-580-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MILLER AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785724139",
"telephone_number": "956-580-1161",
"fax_number": "956-580-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARKS",
"first_name": "KEVIN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
- South Texas Personal Care Service Inc.
- South Texas Physician Partners PLLC (ASAS Health)
- South Texas Sleep Diagnostic Clinic
- South Texas Vascular and Heart Institute PA (Mission Vascular & Vein Institute)
- Ofilia Irene Soza, PHARMD
- SPC Alex Primary Home Care, LLC
- Specialty Dialysis Services, Inc
- Melinda Mae St Bernard, LPC
- St Marie Clinic P a
- St Marie Clinic P a
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.