Active NPI
Christopher J Clark, DDS, PA
Doing business as Dental Center at Brier Creek
- Dentist
- Raleigh, NC
National Provider Identifier
1679898241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7917
- Legal business name
- CHRISTOPHER J CLARK, DDS, PA
- Doing business as
- Dental Center at Brier Creek
- Practice address
- 7841 Alexander Promenade PL
Suite 100
Raleigh, NC 27617-1913 - Phone
- (910) 863-2377
- Fax
- (910) 863-2555
- NPI assigned
- Apr 7, 2010
- Last updated
- Apr 7, 2010
- 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
- Christopher J Clark, DDS
- Title
- Owner/Dentist
- Phone
- (910) 863-2377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7917 | NC | Primary |
Addresses
Primary practice location
7841 Alexander Promenade PL
Suite 100
Raleigh, NC 27617-1913
Mailing address
PO Box 160
Bladenboro, NC 28320-0160
Phone (910) 863-2377
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901223 | Medicaid | NC | |
| 749621 | Other | UNITED CONCORDIA |
Other names 1
- Dental Center at Brier Creek
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270598400000",
"number": "1679898241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "BLADENBORO",
"state": "NC",
"postal_code": "283200160",
"telephone_number": "910-863-2377",
"fax_number": "910-863-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7841 ALEXANDER PROMENADE PL",
"address_2": "SUITE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276171913",
"telephone_number": "910-863-2377",
"fax_number": "910-863-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER J CLARK, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-07",
"last_updated": "2010-04-07",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "910-863-2377",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "7917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901223",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "749621",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Center at Brier Creek",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Raleigh, NC
- Christine D. Laster, DDS, PA
- Giles Christman, LMFTA
- Lisa Abernethy Christman, M.D.
- Sarah Christman, MSW, LCSW
- Christopher Clark, DDS & Associates, PA (Mini City Dental)
- Christopher J Gudger DDS PLLC
- Christopher M Pennisi DDS PLLC (Pennisi Dentistry)
- Christopher T Powell DDS PA (Carolina Dental Arts @ Sutton Square)
- Anne Christopher, PA
- Craig L Christopher, CNIM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.