Active NPI
Gary W. Clark DPM a Professional Corporation
- Customized Equipment (DME)
- Parowan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 3207290501
- Legal business name
- GARY W. CLARK DPM A PROFESSIONAL CORPORATION
- Practice address
- 450 E. Clinic Way
Parowan, UT 84761 - Phone
- (888) 437-3668
- NPI assigned
- Nov 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary W Clark, DPM
- Title
- Owner
- Phone
- (888) 437-3668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 3207290501 | UT | Primary |
Addresses
Primary practice location
450 E. Clinic Way
Parowan, UT 84761
Mailing address
166 W 1325 N Ste 300
Cedar City, UT 84720-7854
Phone (435) 867-8521
National Provider Directory
National Provider Directory- Tax ID family
- Gary W Clark Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Beaver, UT
- NPI 1679646319
-
- Customized Equipment (DME)
- Milford, UT
- NPI 1699847780
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.
-
- Podiatrist
- Cedar City, UT
- NPI 1609861152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447325352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 W 1325 N STE 300",
"city": "CEDAR CITY",
"state": "UT",
"postal_code": "847207854",
"telephone_number": "435-867-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E. CLINIC WAY",
"city": "PAROWAN",
"state": "UT",
"postal_code": "84761",
"telephone_number": "888-437-3668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY W. CLARK DPM A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-437-3668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "UT",
"license": "3207290501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parowan, UT
Sources for this page
- 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.