Organization Active NPI

Clark Hamilton DDS PA

  • Dentist
  • Tallahassee, FL
National Provider Identifier
1194861757
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN3128 Issued in FL
Legal business name
CLARK HAMILTON DDS PA
Practice address
430 E College Ave
Tallahassee, FL 32301
Phone
(850) 321-2714
Fax
(850) 224-3242
NPI assigned
Jan 30, 2007
Last updated
Oct 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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

Authorized official

Name
Dr. James Clark Hamilton Sr., DDS
Title
Owner Pres
Phone
(850) 321-2714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN3128 FL Primary

Addresses

Primary practice location

430 E College Ave
Tallahassee, FL 32301

Mailing address

430 E College Ave
Tallahassee, FL 32301
Phone (850) 321-2714

National Provider Directory

National Provider Directory

Locations

430 E College Ave
Tallahassee, FL 32301
Phone (850) 224-4109

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1194861757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E COLLEGE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301",
            "telephone_number": "850-321-2714",
            "fax_number": "850-224-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E COLLEGE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301",
            "telephone_number": "850-321-2714",
            "fax_number": "850-224-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK HAMILTON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "850-321-2714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN3128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.