Clark Anderson, RRT

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

31698277-0000 Issued in CO

Practice address

8051 Decatur St
Westminster, CO 80031-7216

Phone

(970) 409-2474

NPI assigned

Feb 26, 2021

Last updated

Feb 26, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1598359762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 DECATUR ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317216",
            "telephone_number": "970-409-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 DECATUR ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800317216",
            "telephone_number": "970-409-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CLARK",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": "31698277-0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lynn Ancheril, MD
• Anchor Counseling Services
• Allyson Anders
• Aaron I Anderson, M.S.
• Christian Anderson, PHD ACSW LCSW
• Jarl Brendan Anderson, MA, MFTC
• Kim Patricia Anderson, KIM ANDERSON RN
• Nicholas Anderson
• Tyler Ray Anderson, PHD
• Nicole Maria Andreassi

• Oxygen Equipment & Supplies (DME) in Westminster, CO
• Providers in Westminster, CO by specialty
• Oxygen Equipment & Supplies (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.