CARLY CLARK (NPI# 1427436773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427436773 |
| Entity Type | Individual |
| Full Name | CARLY CLARK |
| Credential | RDH |
| Practice Address |
2828 Zuni St Apt 110 Denver CO 80211-4331 |
| Practice Telephone | 7043017496 |
| Mailing Telephone | 7043017496 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 000906538 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518471697 | Carly Clark | Dietitian, Registered | 1267 Norberry Ct Apt 36, Cranberry Township, PA 16066-5117 | 2017-11-28 |
| 1760827356 | Carly Rene' Clark | Advanced Practice Dental Therapist | 3324 N Arlington Pl, Portland, OR 97217-7204 | 2013-05-08 |
| 1790151256 | Carly Clark | Physical Therapy Assistant | 159 W 1st St, Oswego, NY 13126-2045 | 2015-08-18 |
| 1518106632 | Carly Ann Clark | Massage Therapist | 127 W 79th St, Suite 4, New York, NY 10024-6416 | 2009-02-12 |
| Street Address |
2828 ZUNI ST APT 110 |
| City | DENVER |
| State | CO |
| Zip Code | 80211-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457656167 | Lauren Nicole Goldberg | Social Worker | 2828 Zuni St, Apt 414, Denver, CO 80211-4331 | 2011-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073095436 | Kelsey Briana Vincent | Marriage & Family Therapist | 2855 Speer Blvd, Denver, CO 80211 | 2018-09-02 |
| 1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1437668670 | Timothy Daniel Conwell | Chiropractor | 4444 Umatilla St., Denver, CO 80211 | 2017-09-20 |
| 1609390632 | 38th Modern Dental Practice, LLC | Dentist | 3550 W 38th Ave., #5, Denver, CO 80211 | 2017-08-01 |
| 1063951473 | Samuel Hawkins | Counselor | 2560 W. 29th, Denver, CO 80211 | 2017-02-17 |
| 1972045011 | Margaret Reynolds | Counselor | 2727 Bryant St Ste 510, Denver, CO 80211 | 2016-11-07 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1154877470 | Sara Galan | Counselor | 2405 W. 26th Ave, Denver, CO 80211 | 2016-08-28 |
| Find all providers in zip 80211 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993150 | Holly Delana Julch | Dental Hygienist | 2837 Federal Blvd, Denver, CO 80211-4117 | 2020-08-18 |
| 1245849256 | Manish Tomar | Dental Hygienist | 4562 E Dartmouth Ave, Denver, CO 80222-6732 | 2020-07-26 |
| 1043853823 | Hanh Le | Dental Hygienist | 9250 E Hampden Ave Ste 150, Denver, CO 80231-5413 | 2019-10-23 |
| 1467018812 | Kylee Martin | Dental Hygienist | 3550 W 38th Ave Ste 50, Denver, CO 80211-2000 | 2019-05-10 |
| 1760940647 | Paige Melissa Mcevoy | Dental Hygienist | 1062 Akron Way Bldg 753, Denver, CO 80230-7102 | 2019-03-09 |
| 1972079010 | Laurine Stainbrook | Dental Hygienist | 1100 Federal Blvd # Mc3000, Denver, CO 80204-3219 | 2018-10-16 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1164920666 | Gissel Garcia | Dental Hygienist | 7895 Elder Cir, Denver, CO 80221-4026 | 2018-01-30 |
| 1396253068 | Pareesa Ariana Goshtasebi | Dental Hygienist | 4956 Knox Ct, Denver, CO 80221-1134 | 2018-01-16 |
| 1578081865 | Alexandra Lauren Griffith | Dental Hygienist | 1800 15th St Ste 100, Denver, CO 80202-7134 | 2017-09-06 |
| Find all providers in DENVER | ||||
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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.