Active NPI
Clark & Sanchez Health Center LLC
- Family Medicine Physician
- Brentwood, TN
National Provider Identifier
1245414291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO0000000785
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.