NPIMap

Organization Active NPI

Christopher Clark, DDS & Associates, PA

  • General Practice Dentistry
  • Clinton, NC
National Provider Identifier
1366823759
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10080 Issued in NC
Legal business name
CHRISTOPHER CLARK, DDS & ASSOCIATES, PA
Practice address
320 Northeast Blvd
Clinton, NC 28328-2424
Phone
(910) 596-0606
NPI assigned
Jun 11, 2015
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Christopher Clark, D.D.S.
Title
Owner
Phone
(919) 610-7098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10080 NC Primary

Addresses

Primary practice location

320 Northeast Blvd
Clinton, NC 28328-2424

Mailing address

320 Northeast Blvd
Clinton, NC 28328-2424
Phone (415) 955-7236

National Provider Directory

National Provider Directory
Tax ID family
Christopher Clark DDS Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1366823759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282424",
            "telephone_number": "415-955-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NORTHEAST BLVD",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282424",
            "telephone_number": "910-596-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER CLARK, DDS & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-610-7098",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.