Daniel Kurt Clark

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2101001792 Issued in VA

Practice address

1534 Jefferson Hwy
Fishersville, VA 22939-2242

Phone

(540) 943-0007

NPI assigned

Aug 30, 2012

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

State licenses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1629327119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 JEFFERSON HWY",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392242",
            "telephone_number": "540-943-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 JEFFERSON HWY",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392242",
            "telephone_number": "540-943-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DANIEL",
        "middle_name": "KURT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "VA",
            "license": "2101001792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathon Chisum, PA
• Tushar A. Chopra, M.D.
• Darin Lee Christensen, M.D.
• Emanuel Cirenza, MD
• Theodore Ilie Cisu, MD
• Sandra Ann Clements, LCSW
• Patricia Mary Clough, LCSW
• Bridget E Cocola, SLP
• Alan Cohen, MD
• Elizabeth K Collins, D.M.D.

• All providers in Fishersville, VA
• Hearing Instrument Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.