Spark Biomedical (NPI# 1205431657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1205431657 |
| Entity Type | Organization |
| Organization Name | SPARK BIOMEDICAL |
| Practice Address |
4428 Irvin Simmons Dr Dallas TX 75229-4247 |
| Practice Telephone | 2148429516 |
| Mailing Address |
4428 Irvin Simmons Dr Dallas TX 75229-4247 |
| Mailing Telephone | 2148429516 |
| Authorized Official Name | Mr. Chris Hanna (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 2148429516 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2020-12-03 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194321091 | Nicole Brooks | Durable Medical Equipment & Medical Supplies | 202 Comet Ct, Dallas, GA 30157-0409 | 2020-12-07 |
| 1285237362 | Eugene B. Gabianelli, Md & Assoc. LLC | Durable Medical Equipment & Medical Supplies | 290 Merchants Sq Ste I, Dallas, GA 30132-0930 | 2020-11-19 |
| 1205443371 | Bridgewater Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 603 Munger Ave Ste 1001011, Dallas, TX 75202-1839 | 2020-09-23 |
| 1306464987 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 2727 Live Oak St, Dallas, TX 75204-5729 | 2020-07-09 |
| 1669099644 | Panoptic Medical | Durable Medical Equipment & Medical Supplies | 8330 Lbj Fwy Ste 1030, Dallas, TX 75243-1166 | 2020-06-25 |
| 1770105264 | Axxess Medical LLC | Durable Medical Equipment & Medical Supplies | 6125 Luther Ln # 257, Dallas, TX 75225-6202 | 2020-05-07 |
| 1912527755 | Diesel Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2351 W Northwest Hwy Ste 3135, Dallas, TX 75220-4433 | 2020-04-22 |
| 1477173417 | Metroplex Pharmacy Solutions LLC | Durable Medical Equipment & Medical Supplies | 12700 Hillcrest Rd Ste 218, Dallas, TX 75230-2071 | 2020-04-20 |
| 1952930315 | Essential Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 9550 Forest Ln Ste 208e, Dallas, TX 75243-5905 | 2020-04-07 |
| 1770117061 | Kozlow and Rowell Dentistry Pllc | Durable Medical Equipment & Medical Supplies | 5050 Quorum Dr Ste 300, Dallas, TX 75254-1488 | 2020-02-26 |
| Find all providers in DALLAS | ||||
| Street Address |
4428 IRVIN SIMMONS DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75229-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454602 | Obioma Anyogu | Nurse Practitioner | 1521 East Royal Lane, Apt 3208, Farmersbrabch, TX 75229 | 2020-03-30 |
| 1700399003 | Margaret F Wangsgaard | Dietitian, Registered | 3262 Dothan Ln, Dallas, TX 75229 | 2017-11-08 |
| 1710333075 | Egma LLC | Eyewear Supplier | 11234 Goodnight Lane, Dallas, TX 75229 | 2016-05-05 |
| 1770955924 | Sarah Loucks | Occupational Therapist | 3265 Dartmoor Ct, Dallas, TX 75229 | 2015-10-28 |
| 1750711222 | Maureen Elizabeth Veysset | Nurse Practitioner | 3207 Rotan Ln, Dallas, TX 75229 | 2013-11-20 |
| 1811248826 | Virginia F. Velez | Counselor | 2636 Walnut Hill Ln., Suite #330, Dallas, TX 75229 | 2012-10-01 |
| 1306128210 | Marshal Neil Decker | Technician, Other | 11034 Shady Trail, Suite 112, Dallas, TX 75229 | 2011-09-16 |
| 1275785883 | Rc Chiropractic and Sports Injury Care | Chiropractor | 11029 Shady Trail, 113, Dallas, TX 75229 | 2008-10-14 |
| 1639335672 | Young An Church | Durable Medical Equipment & Medical Supplies | 11445 Emerald St, Dallas, TX 75229 | 2008-07-30 |
| 1336345347 | Sung Ae Lee | Dentist | 2560 Royal Lane, #222, Dallas, TX 75229 | 2007-06-26 |
| Find all providers in zip 75229 | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.