NPIMap

Organization Active NPI

S. Corbin Clark M.D.P.C.

  • Clinic/Center
  • Sandy, UT
National Provider Identifier
1275789307
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
172492-1205 Issued in UT
Legal business name
S. CORBIN CLARK M.D.P.C.
Practice address
9690 S 1300 E
Suite 100
Sandy, UT 84094-3721
Phone
(801) 571-5121
NPI assigned
Aug 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Dr. S. Corbin Clark, M.D.P.C.
Title
Dr.
Phone
(801) 571-5121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 172492-1205 UT Primary

Addresses

Primary practice location

9690 S 1300 E
Suite 100
Sandy, UT 84094-3721

Mailing address

9690 S 1300 E
Suite 100
Sandy, UT 84094-3721
Phone (801) 571-5121

National Provider Directory

National Provider Directory

Locations

9690 S 1300 E
Ste 100
Sandy, UT 84094
Phone (801) 571-5121

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": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1275789307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9690 S 1300 E",
            "address_2": "SUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943721",
            "telephone_number": "801-571-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 S 1300 E",
            "address_2": "SUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943721",
            "telephone_number": "801-571-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. CORBIN CLARK M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "CORBIN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "801-571-5121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.P.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "172492-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.