John S. Clark, Apdc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

OR-050-82 Issued in MS

Legal business name

JOHN S. CLARK, APDC

Doing business as

Mississippi Orthodontic Specialists

Practice address

411 Security SQ
Gulfport, MS 39507-1922

Phone

(228) 896-8355

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John S Clark, D.D.S.

Title

President

Phone

(228) 896-8355

Specialties & licenses 1

Addresses

Other names 1

• Mississippi Orthodontic Specialists Doing business as

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1750508479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071922",
            "telephone_number": "228-896-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. CLARK, APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-896-8355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "OR-050-82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Orthodontic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Todd Jernigan, D.C.
• Jessica M Baskett
• Joan S Waldroup, LCSW, PLLC
• Janelle E Joe, PHARM. D.
• Joel B. Burwell D.O. P.a.
• Rachelle Maxie Johns, LCSW
• Stephen Johns, M.D.
• Bridget Johnson-Fells
• Jennifer Lynn Johnson-Thomas
• Ashlynn Kolbi Johnson

• Orthodontics and Dentofacial Orthopedics Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.