Organization Active NPI

Clark & Sanchez Health Center LLC

  • Family Medicine Physician
  • Brentwood, TN
National Provider Identifier
1245414291
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0000000785 Issued in TN
Legal business name
CLARK & SANCHEZ HEALTH CENTER LLC
Practice address
7101 Executive Center Dr
Suite 175
Brentwood, TN 37027-5236
Phone
(615) 661-0020
Fax
(615) 661-0030
NPI assigned
Dec 27, 2007
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Gary Wayne Clark, DO
Title
Dr/Owner
Phone
(615) 661-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO0000000785 TN Primary

Addresses

Primary practice location

7101 Executive Center Dr
Suite 175
Brentwood, TN 37027-5236

Mailing address

7101 Executive Center Dr
Suite 175
Brentwood, TN 37027-5236
Phone (615) 661-0020

National Provider Directory

National Provider Directory

Locations

7101 Executive Center Dr
Brentwood, TN 37027

7101 Executive Center Dr
Ste 175
Brentwood, TN 37027
Phone (615) 661-0020

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1245414291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 EXECUTIVE CENTER DR",
            "address_2": "SUITE 175",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275236",
            "telephone_number": "615-661-0020",
            "fax_number": "615-661-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 EXECUTIVE CENTER DR",
            "address_2": "SUITE 175",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275236",
            "telephone_number": "615-661-0020",
            "fax_number": "615-661-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK & SANCHEZ HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "615-661-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000000785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.