DAVID JAMES CLARK (NPI# 1205043528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205043528 |
| Entity Type | Individual |
| Full Name | DAVID JAMES CLARK |
| Practice Address |
2200 University Ave W #114 Saint Paul MN 55114-1839 |
| Mailing Address |
11424 Quincy St Ne Blaine MN 55434-2931 |
| Practice Telephone | 6516445800 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 1175 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
2200 UNIVERSITY AVE W #114 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500940 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 2200 University Ave W, Ste 110, Saint Paul, MN 55114-1839 | 2005-07-05 |
| 1417339474 | Kathryn Claus | Marriage & Family Therapist | 2200 University Ave W, Suite 160, Saint Paul, MN 55114-1839 | 2015-06-25 |
| 1760727077 | The Low Vision Store | Durable Medical Equipment & Medical Supplies | 2200 University Ave W, Suite 200, Saint Paul, MN 55114-1839 | 2012-11-28 |
| 1316256282 | Abby K Wiberg | Nurse Practitioner | 2200 University Ave W, Suite 120, Saint Paul, MN 55114-1839 | 2010-09-27 |
| 1295048080 | Nina Denise Guynn | Speech-Language Pathologist | 2200 University Ave W, Suite 140, Saint Paul, MN 55114-1839 | 2010-07-21 |
| 1578753927 | Labeigha Riser | Orthotic Fitter | 2200 University Ave W, Suite 114, Saint Paul, MN 55114-1839 | 2007-07-31 |
| 1497962708 | Scott Lynn Langston | Orthotist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1063629368 | Peter Stasica | Prosthetist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1922215417 | Julie Ann Lien O'connell | Orthotist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-16 |
| 1619198942 | David Benner Harris | Specialist | 2200 University Ave W, Suite 114, Saint Paul, MN 55114-1839 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518762 | Aaron William Dooley | Orthotic Fitter | 1253 James Ave, Saint Paul, MN 55105-2947 | 2013-01-24 |
| 1578753927 | Labeigha Riser | Orthotic Fitter | 2200 University Ave W, Suite 114, Saint Paul, MN 55114-1839 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396925368 | David P Nelson | Orthotic Fitter | 922 Denslow Street, St Paul, MN 55102 | 2007-11-07 |
| 1902971278 | Steven Robert Carr | Orthotic Fitter | 1301 33rd St S Ste 210, Saint Cloud, MN 56301-9668 | 2006-11-22 |
| 1205044161 | Patricia Elisa Kjorlein | Orthotic Fitter | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-05-21 |
| 1629285937 | Angelina Jeanine Constable | Orthotic Fitter | 14500 99th Ave N, Maple Grove, MN 55369-4478 | 2007-05-17 |
| City | SAINT PAUL |
| Zip Code | 55114 |
Please comment or provide details below to improve the information on DAVID JAMES CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.