CLOVIS ORTHODONTICS, PLLC (NPI# 1568063576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568063576 |
| Entity Type | Organization |
| Organization Name | CLOVIS ORTHODONTICS, PLLC |
| Practice Address |
901 E 21st St Ste A Clovis NM 88101-4492 |
| Mailing Address |
7701 Sw 45th Ave Amarillo TX 79119-6299 |
| Practice Telephone | 5757631101 |
| Mailing Telephone | 8063559732 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | DR. JOHN KYLE SPARKMAN (OWNER) |
| Authorized Official Telephone | 8063559732 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Sparkman Orthodontics | Doing Business As Name - Organization |
| Street Address |
901 E 21ST ST STE A |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902464175 | Diciccio Freeman Orthodontics | Dentist | 2127 Herndon Ave Ste 101, Clovis, CA 93611-6303 | 2019-06-03 |
| 1629501416 | Clovis II Bayrakdarian, D.m.d., A Professional Corporation | Dentist | 427 W Nees Ave Ste 101, Clovis, CA 93611-4434 | 2017-04-07 |
| 1639602428 | I. J. Bayrakdarian Dmd A Professional Corporation | Dentist | 451 Clovis Ave Ste 105, Clovis, CA 93612-1197 | 2017-04-07 |
| 1174772784 | David Wayne Farnsworth | Dentist | 901 E 21st St Ste B, Clovis, NM 88101-4492 | 2008-09-18 |
| 1275739112 | David Clark Freeman | Dentist | 2127 Herndon Ave, Suite 101, Clovis, CA 93611-6303 | 2007-06-26 |
| 1467577528 | Larry D Cross | Dentist | 451 Clovis Ave, Suite 105, Clovis, CA 93612-1197 | 2007-03-20 |
| 1790926673 | David C. Freeman, Dds, Ms, Inc. | Dentist | 2127 Herndon Ave, Suite 101, Clovis, CA 93611-6303 | 2009-03-23 |
| 1063669356 | Bayrakdarian Orthodontics LLC | Dentist | 451 Clovis Ave, Suite 105, Clovis, CA 93612-1194 | 2008-08-19 |
| 1376744821 | Bruce J Fremming Dds Inc | Dentist | 280 Shaw Ave, Suite E, Clovis, CA 93612-3800 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053956466 | Cabezon Orthodontics | Dentist | 2401 Cabezon Blvd Se Ste 104, Rio Rancho, NM 87124-1513 | 2019-11-08 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| 1558746099 | Las Cruces Smiles | Dentist | 1160 Commerce Dr Ste B, Las Cruces, NM 88011-8209 | 2015-07-27 |
| 1215339270 | Thomas Dunn | Dentist | 3710 Bosque Plz Nw, Albuquerque, NM 87120-2730 | 2014-09-22 |
| 1871902593 | Sundance Orthodontics LLC | Dentist | 3903 Beckland Dr, Farmington, NM 87402-4701 | 2014-08-06 |
| 1750622072 | Orthodental PC | Dentist | 1748 W Maloney Ave, Gallup, NM 87301-3333 | 2013-03-12 |
| 1538416854 | Darmitzel Orthodontics, LLC | Dentist | 400 Kiva Ct Ste A, Santa Fe, NM 87505-5878 | 2012-08-06 |
| 1467722116 | Morris Orthodontics Pllc | Dentist | 1213c Us Highway 491, Gallup, NM 87301-4820 | 2012-01-11 |
| 1700153475 | Michael J Fanning | Dentist | 8212 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2105 | 2011-11-24 |
| 1932485380 | Dr. Stephen A. Kellam, LLC | Dentist | 539 Harkle Rd Ste D, Santa Fe, NM 87505-4783 | 2011-10-31 |
| Find all providers with the same taxonomy | ||||
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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.