Organization Active NPI

Sparks Management Group PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1902524044
Registry record updated Nov 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SPARKS MANAGEMENT GROUP PLLC
Practice address
5810 E Sam Houston Pkwy N Ste L
Houston, TX 77049-2528
Phone
(713) 436-2782
Fax
(713) 588-8638
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2022

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

Authorized official

Name
Muddasar Tukdi, DMDNPI 1437447398
Title
Owner
Phone
(713) 436-2782

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5810 E Sam Houston Pkwy N Ste L
Houston, TX 77049-2528

Mailing address

10223 Broadway St Ste D1
Pearland, TX 77584-7881
Phone (713) 436-2782

Other names 1

  • AQUA DENTAL WALLISVILLE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.myaquadental.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668816000000",
    "number": "1902524044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE D1",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-2782",
            "fax_number": "713-588-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 E SAM HOUSTON PKWY N STE L",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492528",
            "telephone_number": "713-436-2782",
            "fax_number": "713-588-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS MANAGEMENT GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-11-19",
        "certification_date": "2022-11-19",
        "status": "A",
        "authorized_official_last_name": "TUKDI",
        "authorized_official_first_name": "MUDDASAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-436-2782",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.myaquadental.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5810 E Sam Houston Pkwy N Ste L",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770492528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AQUA DENTAL WALLISVILLE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AQUA DENTAL WALLISVILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2022; 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.