Organization Active NPI

Artis L. Clark, D.D.S.

  • Dental Clinic/Center
  • Kansas City, MO
National Provider Identifier
1013104793
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12971 Issued in MO
Legal business name
ARTIS L. CLARK, D.D.S.
Practice address
6724 Troost Ave
114
Kansas City, MO 64131-1500
Phone
(816) 333-4110
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Artis Lee Clark Sr., D.D.S.NPI 1669668950
Title
Owner
Phone
(816) 333-4110

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
Dental Clinic/Center 261QD0000X 12971 MO Primary

Addresses

Primary practice location

6724 Troost Ave
114
Kansas City, MO 64131-1500

Mailing address

6724 Troost Ave
Kansas City, MO 64131-1500
Phone (816) 333-1733

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, 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": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1013104793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 TROOST AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311500",
            "telephone_number": "816-333-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 TROOST AVE",
            "address_2": "114",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641311500",
            "telephone_number": "816-333-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTIS L. CLARK, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ARTIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-333-4110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "12971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.