Christopher Clark, DDS

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

180497 Issued in AK

Practice address

7000 Uula Street
Barrow, AK 99723

Phone

(501) 590-4819

NPI assigned

Jul 23, 2015

Last updated

Oct 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard N. Schott, DDS-PC

  dba Murfreesboro Dental Excellence

  • Dentist
  • Murfreesboro, TN
  • NPI 1790169951
  Authorized official Same address or phone

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1427433119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 S RUTHERFORD BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371300721",
            "telephone_number": "615-849-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 UULA STREET",
            "city": "BARROW",
            "state": "AK",
            "postal_code": "99723",
            "telephone_number": "501-590-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-23",
        "last_updated": "2021-10-08",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AK",
            "license": "180497",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Anthony Bove
• Shane Bracewell, PHARM.D.
• Bertrand Britt Jr., R.N.
• Todd Carter, MD
• Sharmin Islam Chowdhury, PHARMD
• Judy Esther Dattus, LCSW
• Ma Kristel Ortilla Del Rosario
• Karan Rutherford Djordjevic, LPN
• Daisy M Edwardson
• Jessica Rosette Elston, BS, BA

• Public Health Dentistry in Barrow, AK
• Providers in Barrow, AK by specialty
• Public Health Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.