Dr. David M. Sparks, M.D., PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22621 Issued in OK

Legal business name

DR. DAVID M. SPARKS, M.D., PLLC

Practice address

415 Fairview Ave
Suite 201
Ponca City, OK 74601-1923

Phone

(580) 762-0202

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Michael Sparks, M.D.

Title

Physician

Phone

(580) 762-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1962504746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FAIRVIEW AVE",
            "address_2": "SUITE 201",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FAIRVIEW AVE",
            "address_2": "SUITE 201",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011923",
            "telephone_number": "580-762-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID M. SPARKS, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "580-762-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "22621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200060140B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Dobbs
• John Nathan Dodd
• Gary A Dorman
• Stephanie Kay Dow Ramhorst
• Dr Jim Highfill
• Dr. J . C. Trotter, Inc. P.C.
• Jessica Marie Driggers
• DSK Medical Group, PC
• Tonya Lucille Dugan, SLPA
• Jessica Lynn Duncan, REGISTERED NURSE

• Specialist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.