Individual provider Active NPI

Clark Cranfill, DDS

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1508480559
Registry record updated Feb 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
204606 Issued in CO
Practice address
1103 Oak Park Dr Ste 105
Fort Collins, CO 80525-6273
Phone
(970) 223-2882
NPI assigned
Jun 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 204606 CO Primary

Addresses

Primary practice location

1103 Oak Park Dr Ste 105
Fort Collins, CO 80525-6273

Mailing address

1103 Oak Park Dr Ste 105
Fort Collins, CO 80525-6273
Phone (970) 223-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
204606COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cranfill Dental General Practice Current Accepting new patients
Steven C Tucker, D.D.S., L.L.C. Dentist Past Accepting new patients
Sunrise Community Health PastSince Dec 16, 2020 Accepting new patients
Sunrise Community Health PastSince Dec 16, 2020 Accepting new patients

Locations

1103 Oak Park Dr
Ste 105
Fort Collins, CO 80525
Phone (970) 223-2882

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1508480559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 OAK PARK DR STE 105",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256273",
            "telephone_number": "970-223-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 OAK PARK DR STE 105",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805256273",
            "telephone_number": "970-223-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANFILL",
        "first_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "204606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; 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.