WARREN JAMES CLARK (NPI# 1457549073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457549073 |
| Entity Type | Individual |
| Full Name | WARREN JAMES CLARK |
| Credential | DDS |
| Practice Address |
1302 S Shields St Suite A1-4 Fort Collins CO 80521 |
| Practice Telephone | 9702213933 |
| Practice Fax Number | 9702213934 |
| Mailing Telephone | 9702213933 |
| Mailing Fax Number | 9702213934 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 104963 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730295536 | Warren Reed Clark | Dentist | 320 Ft Duquesne Blvd, Suite 120 Gateway Powers, Pgh, PA 15222 | 2006-08-22 |
| Street Address |
1302 S SHIELDS ST SUITE A1-4 |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679612220 | Robert Wagner Calhoun | Psychologist | 1302 S Shields St, Unit A2-2, Fort Collins, CO 80521-4801 | 2007-02-06 |
| 1790114171 | Simon Dove Dc LLC | Chiropractor | 1302 S Shields St, Suite A1-1, Fort Collins, CO 80521-4801 | 2013-11-05 |
| 1720270044 | Robert W Calhoun Phd PC | Psychologist | 1302 S Shields St, A2-2, Fort Collins, CO 80521-4801 | 2007-08-10 |
| 1568585040 | John Morse | Marriage & Family Therapist | 1302 S Shields St, Suite A2-2, Fort Collins, CO 80521-4801 | 2007-04-09 |
| 1992822472 | John W. Grogan Jr. | Marriage & Family Therapist | 1302 S Shields St, Suite A2-2, Fort Collins, CO 80521-4801 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447876214 | Nicole Rachel Krois | Dentist | 2708 Rockford Dr Unit 103, Fort Collins, CO 80525-7688 | 2020-06-17 |
| 1154946507 | Jacob Adkins | Dentist | 4032 S College Ave # A1, Fort Collins, CO 80525-3076 | 2020-06-11 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1205358017 | College Ave Modern Dental Practice, LLC | Dentist | 3617 S College Ave Unit B, Fort Collins, CO 80525-3009 | 2017-07-13 |
| 1417496548 | Marisela Arritola | Dentist | 4032 S College Ave Unit A1, Fort Collins, CO 80525-3076 | 2017-02-22 |
| 1366986598 | John D Siegmund Dds PC | Dentist | 4360 Boardwalk Dr, Ste 100, Fort Collins, CO 80525-5932 | 2016-12-07 |
| 1164976171 | Robert Marin | Dentist | 5233 Boardwalk Dr, Unit B-204, Fort Collins, CO 80525-7341 | 2016-08-08 |
| 1558744227 | Ryan Rush Dds Pllc | Dentist | 383 W Drake Rd Ste 101, Fort Collins, CO 80526-2884 | 2015-06-30 |
| 1679966550 | Bradley Packer | Dentist | 3506 Lochwood Dr Ste A, Fort Collins, CO 80525-2995 | 2015-03-16 |
| 1093126237 | Clear Creek Dental | Dentist | 373 W Drake Rd Ste 2, Fort Collins, CO 80526-2881 | 2014-05-09 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
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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.