CR Clark Dental, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CR CLARK DENTAL, INC.

Practice address

17909 Soledad Canyon Rd Ste 160
Santa Clarita, CA 91387-3210

Phone

(661) 250-3600

NPI assigned

Sep 26, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Clayton R Clark, DDSNPI 1205118460

Title

Owner

Phone

(661) 250-3600

Specialties & licenses 1

Addresses

Other names 2

• Lost Canyon Family Dental Doing business as
• Soledad Canyon Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton Rosell Clark, D.D.S.

  • General Practice Dentistry
  • Carlsbad, CA
  • NPI 1205118460
  NPD Authorized official

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1831916154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17909 SOLEDAD CANYON RD STE 160",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873210",
            "telephone_number": "661-250-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17909 SOLEDAD CANYON RD STE 160",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873210",
            "telephone_number": "661-250-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR CLARK DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-250-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lost Canyon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Soledad Canyon Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Coutin, PH.D
• Victoria Coutinho
• Crystiane Babarczi Couto, M.D.
• Dylan Cowell
• Bryana Cox
• Rosemary Crawford
• Laurence Cree, DDS
• Courtney Taylor Crook, RN
• Matthew Peter Crossin
• Lucy Crouppen, APCC

• Dental Clinic/Center in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.