Sparks Clinic PC

Primary specialty

Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X

License

87-386NM Issued in NM

Legal business name

SPARKS CLINIC PC

Practice address

1000 N. Hudson St.
Silver City, NM 88061

Phone

(505) 538-0486

Fax

(505) 538-9179

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Twana Livette Sparks, MD

Title

President

Phone

(505) 538-0486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831284967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N. HUDSON ST.",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "88061",
            "telephone_number": "505-538-0486",
            "fax_number": "505-538-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N. HUDSON ST.",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "88061",
            "telephone_number": "505-538-0486",
            "fax_number": "505-538-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "TWANA",
        "authorized_official_middle_name": "LIVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-538-0486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NM",
            "license": "87-386NM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Bone and Joint Institute PC
• Southwest Family Medicine, PC
• Southwest Psychology Assciates
• Southwest Trauma Solutions LLC
• Southwest Wellness
• Twana Livette Sparks, M.D.
• Cheryl Speir-Phillips, MA, LPCC
• Vladimir Spira, M.D.
• Gail Stamler, CNM
• John M Stanley, M.D.

• Otolaryngic Allergy Physician in Silver City, NM
• Providers in Silver City, NM by specialty
• Otolaryngic Allergy Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.