Active NPI
Gail Joan Nicole Baker Clark, BSBA, RDH, MS
- Dental Hygienist
- Harrisburg, PA
National Provider Identifier
1972945178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH070530
- Practice address
- 5034 Royal Ave
Harrisburg, PA 17109-3119 - Phone
- (717) 517-1257
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 101177 | NV | |
| Dental Hygienist | 124Q00000X | DH070530 | PA | Primary |
Addresses
Primary practice location
5034 Royal Ave
Harrisburg, PA 17109-3119
Mailing address
5034 Royal Ave
Harrisburg, PA 17109-3119
Phone (717) 517-1257
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18849006 | Other | PA | NATIONAL INSURANCE PRODUCER (NPN) |
| 858136 | Other | PA | INSURANCE PRODUCER |
| 101177 | Other | NV | DENTAL HYGIENE & LOCAL ANESTHESIA |
| DHA000615 | Other | PA | DENTAL HYGIENE ANESTHESIA |
| DH070530 | Other | PA | DENTAL HYGIENE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101177 | NV | MD | Dental Hygienist |
| DH070530 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1972945178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5034 ROYAL AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171093119",
"telephone_number": "717-517-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5034 ROYAL AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171093119",
"telephone_number": "717-517-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "GAIL",
"middle_name": "JOAN NICOLE BAKER",
"name_prefix": "Ms.",
"credential": "BSBA, RDH, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NV",
"license": "101177",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH070530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL INSURANCE PRODUCER (NPN)",
"identifier": "18849006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE PRODUCER",
"identifier": "858136",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENE & LOCAL ANESTHESIA",
"identifier": "101177",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENE ANESTHESIA",
"identifier": "DHA000615",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL HYGIENE",
"identifier": "DH070530",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.