NPIMap

Organization Active NPI

C.Russell Sparenberg,MD,PA

  • Plastic Surgery Physician
  • Plano, TX
National Provider Identifier
1982881611
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C9674 Issued in TX
Legal business name
C.RUSSELL SPARENBERG,MD,PA
Practice address
3900 W 15TH St
#106
Plano, TX 75075-7751
Phone
(972) 867-2522
Fax
(972) 867-3182
NPI assigned
Jan 24, 2008
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Charles Russell Sparenberg, MDNPI 1205911401
Title
Owner
Phone
(972) 867-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X C9674 TX Primary

Addresses

Primary practice location

3900 W 15TH St
#106
Plano, TX 75075-7751

Mailing address

3900 W 15TH St
Suite 106
Plano, TX 75075-7751
Phone (972) 867-2522

National Provider Directory

National Provider Directory

Locations

3900 W 15th St
Ste 106
Plano, TX 75075
Phone (972) 867-2522

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1982881611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST",
            "address_2": "SUITE 106",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757751",
            "telephone_number": "972-867-2522",
            "fax_number": "972-867-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 15TH ST",
            "address_2": "#106",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757751",
            "telephone_number": "972-867-2522",
            "fax_number": "972-867-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.RUSSELL SPARENBERG,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "SPARENBERG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-867-2522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "C9674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.