NPIMap

Organization Active NPI

Gary K. Clark, DMD & Assoc., PC

  • General Practice Dentistry
  • Sandy, UT
National Provider Identifier
1902007354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
141551-9922 Issued in UT
Legal business name
GARY K. CLARK, DMD & ASSOC., PC
Practice address
9730 S 700 E Ste 106
Sandy, UT 84070-4503
Phone
(801) 572-1130
NPI assigned
May 31, 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
Gary K. Clark, DMDNPI 1487855961
Title
President
Phone
(801) 572-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 141551-9922 UT Primary

Addresses

Primary practice location

9730 S 700 E Ste 106
Sandy, UT 84070-4503

Mailing address

9730 S 700 E Ste 106
Sandy, UT 84070-4503

National Provider Directory

National Provider Directory

Locations

9730 S 700 E
Ste 106
Sandy, UT 84070
Phone (801) 572-1130

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902007354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 S 700 E STE 106",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 S 700 E STE 106",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704503",
            "telephone_number": "801-572-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY K. CLARK, DMD & ASSOC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-572-1130",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "141551-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

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.