Individual provider Active NPI

Amanda Lee Sparks, DC

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1801068465
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 9500 Issued in FL
Practice address
2301 W Sample Rd
BLDG 5, Suite 3B
Pompano Beach, FL 33073-3081
Phone
(954) 984-1961
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9500 FL Primary

Addresses

Primary practice location

2301 W Sample Rd
BLDG 5, Suite 3B
Pompano Beach, FL 33073-3081

Mailing address

2301 W Sample Rd
BLDG 5, Suite 3B
Pompano Beach, FL 33073-3081
Phone (954) 984-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080828000539 WI Practitioner - Chiropractic 6406922301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron a Abplanalp LLC 3 clinicians

Practice addresses (Care Compare)

637 E Washington Ave
Suite 103
Madison, WI 53703-2971
Phone (608) 630-9132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9500FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron a Abplanalp LLC Chiropractor CurrentSince Aug 17, 2020 Accepting new patients
Bowers Family Chiropractic LLC Chiropractor Past Accepting new patients

Locations

11 N Broom St
Madison, WI 53703
Phone (608) 250-5200

637 E Washington Ave
Ste 103
Madison, WI 53703
Phone (608) 630-9132

509 Cottage Grove Rd
Madison, WI 53716
Phone (608) 442-9909

Organizations & group practices 2

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": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1801068465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W SAMPLE RD",
            "address_2": "BLDG 5, SUITE 3B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733081",
            "telephone_number": "954-984-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W SAMPLE RD",
            "address_2": "BLDG 5, SUITE 3B",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733081",
            "telephone_number": "954-984-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.