NPIMap

Organization Active NPI

R Joseph Clark DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seymour, IN
National Provider Identifier
1760524342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12005390A Issued in IN
Legal business name
R JOSEPH CLARK DDS PC
Practice address
500 N Chestnut St
Seymour, IN 47274
Phone
(812) 522-7360
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. R Joseph Clark, DDS
Title
President
Phone
(812) 522-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 12005390A IN Primary

Addresses

Primary practice location

500 N Chestnut St
Seymour, IN 47274

Mailing address

PO Box 684
Seymour, IN 47274
Phone (812) 522-7360

National Provider Directory

National Provider Directory

Locations

500 N Chestnut St
Seymour, IN 47274
Phone (812) 522-7360

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760524342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-522-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CHESTNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-522-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R JOSEPH CLARK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-522-7360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12005390A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.