MR. DAVID ALLAN CLARK (NPI# 1275722365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275722365 |
| Entity Type | Individual |
| Full Name | MR. DAVID ALLAN CLARK |
| Credential | LADC |
| Practice Address |
50196 872nd Rd Page NE 68766-5539 |
| Practice Telephone | 4023385510 |
| Practice Fax Number | 4023385510 |
| Mailing Telephone | 4023385510 |
| Mailing Fax Number | 4023385510 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
594 | NE | Behavioral Health & Social 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 |
| 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 |
| 1447333539 | David J Clark | Dentist | 3402 S 38th St, Tacoma, WA 98409-4638 | 2006-10-23 |
| Street Address |
50196 872ND RD |
| City | PAGE |
| State | NE |
| Zip Code | 68766-5539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184990152 | Avera St Anthonys Hospital | Clinic/Center | 103 N 5th St, Page, NE 68766-5018 | 2012-03-23 |
| 1871858803 | Becky Lee Seger | Speech-Language Pathologist | 50477 873rd Rd, Page, NE 68766-5536 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055642 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 463 S Lake Powell Blvd Ste P, Page, AZ 86040-0856 | 2020-08-26 |
| 1902418940 | Cynthia M Burgess | Technician | 93 Lang Rd, Page, WV 25119 | 2020-08-20 |
| 1538799234 | Desert Heights Family Clinic Professional Corporation | Clinic/Center | 629 Elm St, Page, AZ 86040-7502 | 2020-01-22 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1528603107 | Heather Rapoza | Specialist/Technologist | 462 S Lake Powell Blvd, Page, AZ 86040-0856 | 2019-11-07 |
| 1144861154 | Barbara Bananov | Physical Therapist | 39 6th Ave # 3304, Page, AZ 86040-0470 | 2019-10-01 |
| 1093374704 | Lorrie M Pierson | In Home Supportive Care | 680 Haul Rd, Suite B, Page, AZ 86040-8604 | 2019-06-07 |
| 1881251437 | Amy Jean Snell | Nurse Practitioner | 501 N. Navajo Dr., Page, AZ 86040 | 2019-05-20 |
| 1740748441 | Cameron Sidney Shick | Pharmacist | 501 N Navajo Drive, Page, AZ 86040 | 2019-03-12 |
| 1891250338 | Samantha Elizabeth Cannavo | Specialist/Technologist | 1801 N Navajo Dr., Page, AZ 86040 | 2019-02-08 |
| Find all providers in PAGE | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922262773 | Frank Charley Young | Counselor | 337 North Navajo Drive, Page, AZ 86040 | 2008-07-10 |
| 1922157270 | John W. Loosle | Counselor | 819 No. Navajo Dr., Suite # 4, Page, AZ 86040 | 2007-01-09 |
| 1467481168 | Virginia Arizona-fat | Counselor | 337 N. Navajo Drive, Page, AZ 86040 | 2006-07-03 |
| 1902237191 | Jeanie Manson | Counselor | 337 N. Navajo Drive, Page, AZ 86040 | 2013-12-12 |
| 1144319666 | John Valvo | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-10-12 |
| 1053341461 | Norman Ray Stevens | Counselor | 337 N. Navajo Drive, Page, AZ 86040 | 2006-07-03 |
| 1871558361 | Ronald Grant Macdonald Jr. | Counselor | 463 S. Lake Powell Blvd, Page, AZ 86040-0790 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352579 | Kendra Bishop | Counselor | 2109 S 24th St, Lincoln, NE 68502-4002 | 2020-10-02 |
| 1154930386 | Harry D Washington IIi | Counselor | 1299 Farnam, Omaha, NE 68105-6811 | 2020-07-23 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1003432386 | Judi Scott | Counselor | 9733 Grant St, Omaha, NE 68134-5619 | 2020-06-22 |
| 1992320980 | Eric Johnson LLC | Counselor | 301 S 70th St Ste 313, Lincoln, NE 68510-2469 | 2020-06-15 |
| 1508481086 | William Sean Mcneil | Counselor | 3128 N 168th Ave, Omaha, NE 68116-2614 | 2020-06-10 |
| 1043834005 | All Communities Outreach Services | Counselor | 112 E Mission Avenue, Bellevue, NE 68005-5023 | 2020-06-04 |
| 1225659832 | Am Counseling and Consulting | Counselor | 207 Galvin Rd N, Bellevue, NE 68005-4898 | 2020-05-05 |
| 1063048114 | Tiffany Gormley | Counselor | 18047 Oak St, Omaha, NE 68130-6093 | 2020-03-20 |
| 1629604830 | Shirlene Fawn Seymour | Counselor | 113 Bluff Street, Winnebago, NE 68071-0423 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
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| 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.