Tracy M. Clark DDS Inc

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

15603 Issued in TX

Legal business name

TRACY M. CLARK DDS INC

Practice address

1500 S Dairy Ashford St
1500 South Dairy Ashford Ste. 114
Houston, TX 77077-3854

Phone

(281) 558-3440

Fax

(281) 558-3448

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Manning Clark, D.D.S.NPI 1952793051

Title

President

Phone

(281) 558-3440

Specialties & licenses 1

Addresses

Other names 1

• West Houston Endodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Manning Clark, D.D. S.

  • Endodontics
  • Houston, TX
  • NPI 1952793051
  NPD (past) Authorized official
• William A. Walker III, D.D.S.

  • Endodontics
  • Houston, TX
  • NPI 1891734356
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295889863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DAIRY ASHFORD ST",
            "address_2": "1500 SOUTH DAIRY ASHFORD STE. 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773854",
            "telephone_number": "281-558-3440",
            "fax_number": "281-558-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S DAIRY ASHFORD ST",
            "address_2": "1500 SOUTH DAIRY ASHFORD STE. 114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773854",
            "telephone_number": "281-558-3440",
            "fax_number": "281-558-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY M. CLARK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MANNING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-558-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "15603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Houston Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henri Toufic Traboulsi, M.D.
• Adnan Trabulsi, MD
• Trace Body Rejuvenation, Sports Recovery, Pain Relief, and Aesthetics
• Trace Pharmacy LLC
• Barry Trachtenberg, MD
• Britney Tracy, OTR/L
• Darlene A Tracy, PA-C
• Sherri A. Tracy, CRNA
• Trade It in
• Traditional Care EMS Inc

• Endodontics in Houston, TX
• Providers in Houston, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.