KELLY R CLARKE (NPI# 1437132305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437132305 |
| Entity Type | Individual |
| Full Name | KELLY R CLARKE |
| Credential | DDS |
| Practice Address |
2204 E 29th Ave Ste. 208 Spokane WA 99203-3961 |
| Practice Telephone | 5095359515 |
| Mailing Telephone | 5095359515 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2008-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00010199 | WA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D8421 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 233086 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1285739409 | Kelly Michael Clarke | Dentist | 2700 Grand Ave, Suite B, Billings, MT 59102-2680 | 2006-09-13 |
| 1043837313 | Kelly Ann Clarke | Social Worker | 75 West St, Danbury, CT 06810-6528 | 2020-07-02 |
| 1891321287 | Kelly Clarke | Counselor | 4201 Medical Dr Ste 330, San Antonio, TX 78229-5805 | 2020-03-17 |
| 1821657693 | Kelly Clarke | Physical Therapist | 310 N Loomis St, Chicago, IL 60607-1147 | 2019-06-06 |
| Street Address |
2204 E 29TH AVE STE. 208 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203-3961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870070 | W Dale Crum | Dentist | 2204 E 29th Ave, Ste 104, Spokane, WA 99203-3961 | 2005-06-13 |
| 1245640606 | Hartwig Health Ps | Family Medicine | 2204 E 29th Ave, Suite 202, Spokane, WA 99203-3961 | 2014-05-06 |
| 1992067607 | Paul C Fawson IIi Dds Inc Ps | Dentist | 2204 E 29th Ave, Ste 208, Spokane, WA 99203-3961 | 2012-06-10 |
| 1982965976 | Inland Oral Surgery P.s. | Dentist | 2204 E 29th Ave, Suite 104, Spokane, WA 99203-3961 | 2012-06-06 |
| 1093977506 | David G. Gailey | Dentist | 2204 E 29th Ave, Suite #104, Spokane, WA 99203-3961 | 2008-06-26 |
| 1447474101 | Charles L Regalado | Dentist | 2204 E 29th Ave, Suite 208, Spokane, WA 99203-3961 | 2007-04-12 |
| 1942335112 | John Michael Schruth | Physical Therapist | 2204 E 29th Ave, Suite 202, Spokane, WA 99203-3961 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662303 | Dr. Teemu J Scarborough Dds PC | Dentist | 707 W Francis Ave Ste 100, Spokane, WA 99205-6401 | 2020-09-08 |
| 1932682374 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 2807 S Stone St Ste 102, Spokane, WA 99223-4904 | 2018-09-12 |
| 1821582735 | Dental Professionals of Washington Quirt Mongrain Gibree PC | Dentist | 1520 W Garland Ave Ste A, Spokane, WA 99205-2613 | 2018-06-15 |
| 1689175309 | Evolution Dental Alliance | Dentist | 507 S Washington St Ste 190, Spokane, WA 99204-2608 | 2018-02-27 |
| 1528411600 | Richard G Witter, Dds | Dentist | 3150 E 27th Ave # 200, Spokane, WA 99223-4919 | 2016-07-13 |
| 1922461409 | Michael Davis Dmd Pllc | Dentist | 15 E Central Ave Ste 2, Spokane, WA 99208-1109 | 2016-04-01 |
| 1174938500 | Heather Marie Moore | Dentist | 101 W. Cascade Way Suite 202, Cascade Dental Care, Spokane, WA 99208-6016 | 2014-06-24 |
| 1235550898 | Penelope Walpole | Dentist | 9802 E. Holman Rd, Spokane, WA 99206 | 2013-12-30 |
| 1437590338 | Thomas A Stein | Dentist | 520 S Cowley St Ste 105, Spokane, WA 99202-1315 | 2013-07-09 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| Find all providers in SPOKANE | ||||
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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.