Individual provider Active NPI

Crystal Nava Sparling, MD

  • Pediatrics Physician
  • Blanchard, OK
National Provider Identifier
1902002025
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25724 Issued in OK
Practice address
865 E Veterans Memorial Hwy
Blanchard, OK 73010-9215
Phone
(405) 342-0388
Fax
(888) 972-3790
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25724 OK Primary

Addresses

Primary practice location

865 E Veterans Memorial Hwy
Blanchard, OK 73010-9215

Mailing address

865 E Veterans Memorial Hwy
Blanchard, OK 73010-9215
Phone (405) 342-0388

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25724OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center 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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1902002025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 E VETERANS MEMORIAL HWY",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730109215",
            "telephone_number": "405-342-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E VETERANS MEMORIAL HWY",
            "city": "BLANCHARD",
            "state": "OK",
            "postal_code": "730109215",
            "telephone_number": "405-342-0388",
            "fax_number": "888-972-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARLING",
        "first_name": "CRYSTAL",
        "middle_name": "NAVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "25724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanchard, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.