James Thomas Clark, DME

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

11460 Old Mill Rd
Spencer, OH 44275-9582

Phone

(330) 648-1515

NPI assigned

Nov 9, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609389832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11460 OLD MILL ROAD",
            "address_2": "PO BOX 294",
            "city": "SPENCER",
            "state": "OH",
            "postal_code": "44275",
            "telephone_number": "330-648-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11460 OLD MILL RD",
            "city": "SPENCER",
            "state": "OH",
            "postal_code": "442759582",
            "telephone_number": "330-648-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 294",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "OH",
            "postal_code": "442750294",
            "country_code": "US",
            "telephone_number": "330-648-1515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "DME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Spencer, OH
• Providers in Spencer, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.