Clark Hepworth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33238 Issued in TX

Practice address

4965 W Commerce St
San Antonio, TX 78237-1508

Phone

(210) 702-3206

NPI assigned

Jul 7, 2017

Last updated

Jul 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1891217295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 HAWTHORN WOODS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491486",
            "telephone_number": "913-530-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 W COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782371508",
            "telephone_number": "210-702-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPWORTH",
        "first_name": "CLARK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Charles Henson, PTA
• Brooke Cheri Hensz, M.S. CCC/SLP
• Karen Hentschel-Franks, DO
• Robbie Wayne Henwood, D.D.S., PH.D
• Alexander Otto Henze, MD
• Her Prosthetics, LLC
• Herald Emergency Physicians, PLLC
• Herald Medical PLLC
• Christina Herbert, PHARM.D.
• Haley Herbst, RD

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.