NPIMap

Organization Active NPI

Dennis Dewayne Clark, MD LLC

  • Surgery Physician
  • Anniston, AL
National Provider Identifier
1689588758
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DENNIS DEWAYNE CLARK, MD LLC
Practice address
171 Town Center Dr Ste 100
Anniston, AL 36205-4102
Phone
(256) 237-1624
Fax
(256) 241-2277
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Dennis Dewayne Clark, MDNPI 1356313969
Title
Owner
Phone
(256) 237-1624

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

171 Town Center Dr Ste 100
Anniston, AL 36205-4102

Mailing address

171 Town Center Dr Ste 100
Anniston, AL 36205-4102
Phone (256) 237-1624

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1689588758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DR STE 100",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054102",
            "telephone_number": "256-237-1624",
            "fax_number": "256-241-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TOWN CENTER DR STE 100",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362054102",
            "telephone_number": "256-237-1624",
            "fax_number": "256-241-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS DEWAYNE CLARK, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-237-1624",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.