DR. BEN CLARK JR. (NPI# 1629099353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629099353 |
| Entity Type | Individual |
| Full Name | DR. BEN CLARK JR. |
| Credential | DPM |
| Practice Address |
2826 E Illinois Ave Dallas TX 75216 |
| Practice Telephone | 2143724621 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 400 | TX | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487626743 | Ben P. Clark | Optometrist | 116 Baskervill Dr, Palweys Island, SC 29585 | 2006-02-02 |
| 1265556153 | Ben Clark | Chiropractor | 4003 Ross Ave, Dallas, TX 75204-5206 | 2007-03-18 |
| 1780656322 | Ben Lee Clark Sr. | Social Worker | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2006-02-07 |
| Street Address |
2826 E ILLINOIS AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1043651367 | Lakisha Henderson | Registered Nurse | 2619 S. Lancaster Rd, Dallas, TX 75216 | 2013-07-15 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235658659 | Eldercare Services, LLC | Podiatrist | 9540 Garland Rd Ste 123, Dallas, TX 75218-5004 | 2017-09-18 |
| 1033668173 | Amanda Killeen | Podiatrist | 5323 Harry Hines Blvd # F4.310, Dallas, TX 75390-0001 | 2016-09-30 |
| 1841606506 | Feetbeyond, Inc. | Podiatrist | 13331 Preston Rd Ste 2016, Dallas, TX 75240-1131 | 2014-07-02 |
| 1801065776 | Southwest Podiatry, LLP | Podiatrist | 7777 Forest Ln Ste C435, Dallas, TX 75230-6842 | 2008-02-26 |
| 1568667962 | Ashley K Meusa | Podiatrist | 2922 Mlk Jr Blvd Bldg B, Dallas, TX 75215-2321 | 2007-06-18 |
| 1871707927 | Gary Jay Kaiserman | Podiatrist | 2431 W Kiest Blvd, Dallas, TX 75233-2305 | 2007-05-09 |
| 1790998243 | Vera Stern | Podiatrist | 5925 Forest, #130, Dallas, TX 75230 | 2007-05-08 |
| 1336270826 | Lonnie Schwartz | Podiatrist | 4137 Stanford Ave, Dallas, TX 75225-6930 | 2007-03-08 |
| 1477690071 | Barry Schrager, Dpm, P.a. | Podiatrist | 5459 La Sierra, 101, Dallas, TX 75230 | 2007-01-31 |
| 1558439026 | Willie Larry Lundy | Podiatrist | 2416 Martin Luther King Jr Blvd, Dallas, TX 75215-2303 | 2006-12-01 |
| Find all providers in DALLAS | ||||
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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.