Dr. James L Clark, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4245 Issued in OK

Legal business name

DR. JAMES L CLARK, DDS

Practice address

116 E 14TH St
Ada, OK 74820-6518

Phone

(580) 279-5760

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Latisha Booth

Title

Office Manager

Phone

(580) 279-5760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1831601657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748210458",
            "telephone_number": "580-279-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 14TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206518",
            "telephone_number": "580-279-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES L CLARK, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-279-5760"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMP DENTIST",
            "identifier": "1720161326",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lindsey Dooley, ARNP
• Sean Dority
• Justin Doty
• Leigh Anne Downing, AGNP
• Dr Charles W Gurley OD PC
• Judd Andrew Drake
• DRS. Troska, Morgan and Johnston
• Ensie Drumgo, M.S.
• Douglas Duffy, PAC
• Chiquita Denniece Duncan, LPC, LADC

• General Practice Dentistry in Ada, OK
• Providers in Ada, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.