Organization Active NPI

Clark Dental LLC

  • Dentist
  • Euclid, OH
National Provider Identifier
1043627227
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30024023 Issued in OH
Legal business name
CLARK DENTAL LLC
Practice address
872 E 222ND St
Euclid, OH 44123-3316
Phone
(216) 409-8451
Fax
(216) 205-4314
NPI assigned
Jul 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Zamira Jani, D.D.SNPI 1194086645
Title
Dentist
Phone
(216) 409-8451

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 30024023 OH Primary

Addresses

Primary practice location

872 E 222ND St
Euclid, OH 44123-3316

Mailing address

872 E 222ND St
Euclid, OH 44123-3316
Phone (216) 409-8451

National Provider Directory

National Provider Directory

Locations

3084 W 25th St
Cleveland, OH 44113

872 E 222nd St
Euclid, OH 44123
Phone (216) 205-4240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1043627227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 E 222ND ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233316",
            "telephone_number": "216-409-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 E 222ND ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441233316",
            "telephone_number": "216-409-8451",
            "fax_number": "216-205-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-19",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "ZAMIRA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "216-409-8451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30024023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.