Katherine Anne Clark, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

41822 Issued in TX

Practice address

2246 Jacksboro Hwy Ste 112
Fort Worth, TX 76114-2363

Phone

(817) 529-1799

NPI assigned

Aug 6, 2025

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bob Jing DDS PA

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1437304771
  NPD (past)

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1730064114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E GLADE RD APT 9201",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517392",
            "telephone_number": "225-241-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 JACKSBORO HWY STE 112",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761142363",
            "telephone_number": "817-529-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "41822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Clark, RNC MSN NNP
• Emily J. Clark, LCSW LCDC
• Gabrielle Clark
• Jessie D Clark
• Joann Clark, RN
• Keely Clark, RNFA
• Kendra Nicole Clark, DMD
• Lauren Clark, LMT
• Lisamarie Helen Clark, OD
• Megan H Clark, S.L.P.

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.