Organization Active NPI

J. Daron Clark, DMD, PC

Doing business as Downtown Dental Service

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1285937912
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
J. DARON CLARK, DMD, PC
Doing business as
Downtown Dental Service
Practice address
101 Union St
Nashville, TN 37201-1302
Phone
(615) 254-1393
Fax
(615) 313-3666
NPI assigned
Dec 20, 2010
Last updated
Dec 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Dr. Jesse Daron Clark, DMD
Title
Owner
Phone
(615) 254-1393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

101 Union St
Nashville, TN 37201-1302

Mailing address

101 Union St
Nashville, TN 37201-1302
Phone (615) 254-1393

Other names 1

  • Downtown Dental Service Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1285937912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 UNION ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011302",
            "telephone_number": "615-254-1393",
            "fax_number": "615-313-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 UNION ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011302",
            "telephone_number": "615-254-1393",
            "fax_number": "615-313-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DARON CLARK, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "DARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-254-1393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Dental Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.