ALEXANDER J. CLARK DDS, LLC (NPI# 1629680368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629680368 |
| Entity Type | Organization |
| Organization Name | ALEXANDER J. CLARK DDS, LLC |
| Practice Address |
8340 Mission Rd Ste 118 Prairie Village KS 66206-1362 |
| Mailing Address |
10206 Rosewood Dr Overland Park KS 66207-3421 |
| Practice Telephone | 3163122309 |
| Mailing Telephone | 3163122309 |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALEXANDER J CLARK (DENTIST) |
| Authorized Official Telephone | 3163122309 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
8340 MISSION RD STE 118 |
| City | PRAIRIE VILLAGE |
| State | KS |
| Zip Code | 66206-1362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932740677 | Johanna Nilsson | Psychologist | 3795 W. 95th Street, Overland Park, KS 66206 | 2019-10-03 |
| 1205312618 | Courtney Brooke Summers | Speech-Language Pathologist | 3795 W. 95th St., Overland Park, KS 66206 | 2018-07-18 |
| 1467844340 | Kimberly Kircher | Nurse Practitioner | 10511 Mission Road, Unit 201, Leawood, KS 66206 | 2015-03-02 |
| 1730513227 | Kc Developmental Therapies, LLC | Speech-Language Pathologist | 3795 W. 95th St, Overland Park, KS 66206 | 2013-09-03 |
| 1124372479 | Thalia House Kc, Inc | Counselor | 9811 Lee Circle, Leawood, KS 66206 | 2012-11-07 |
| 1063772754 | Sasha G Hamdani | Psychiatry & Neurology | 8900 State Line Road, Suite 380, Leawood, KS 66206 | 2012-05-29 |
| 1174716120 | Olivia Ann Byram | Speech-Language Pathologist | 9613 High Drive, Leawood, KS 66206 | 2007-08-23 |
| 1124144837 | Jaime L Parks | Audiologist-Hearing Aid Fitter | 3655 W 95th St, Overland Park, KS 66206 | 2007-03-22 |
| 1922137074 | Robert Busetti | Dentist | 10346 State Line Road, Leawood, KS 66206 | 2007-03-05 |
| 1457395410 | Sherman Charles Zaremski | Internal Medicine | 9931 Lee Court, Leawood, KS 66206 | 2006-06-16 |
| Find all providers in zip 66206 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174177281 | Grant R Smith Dds Pa | Clinic/Center | 3700 W 83rd St Ste 111, Prairie Village, KS 66208-5120 | 2019-07-26 |
| 1548731474 | Clark C. Chaney Dds, LLC. | Clinic/Center | 4121 W 83rd St Ste 206, Prairie Village, KS 66208-5323 | 2018-12-17 |
| 1982926804 | Corinth Dental Care, LLC | Clinic/Center | 3700 W 83rd St, Suite 217, Prairie Village, KS 66208-5120 | 2010-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071783 | David L. Foley D.d.s. Inc | Clinic/Center | 940 N Andover Rd, Andover, KS 67002-9787 | 2020-10-20 |
| 1225653959 | Moxley Family Dental, LLC | Clinic/Center | 15455 E 13th St N, Wichita, KS 67230-7572 | 2020-06-09 |
| 1760018576 | Senior Dental Care of Ms, LLC | Clinic/Center | 8500 W 110th St Ste 450, Overland Park, KS 66210-4029 | 2020-03-13 |
| 1962037523 | Beverly Moon Dmd LLC | Clinic/Center | 4601 W 109th St Ste 240, Overland Park, KS 66211-1323 | 2020-03-04 |
| 1518504976 | M&m Family Dentistry LLC | Clinic/Center | 9319 E Harry St Ste 126, Wichita, KS 67207-5070 | 2019-12-04 |
| 1811542640 | Medical Heights Dental Center, Pa | Clinic/Center | 100 W Ross Blvd Ste 2c, Dodge City, KS 67801-7217 | 2019-08-08 |
| 1508419938 | Custom Dental of Ottawa, Pa | Clinic/Center | 2030 S Princeton St, Ottawa, KS 66067 | 2019-07-24 |
| 1114588639 | Evolve Family Dentistry, LLC | Clinic/Center | 1133 College Ave Ste A103, Manhattan, KS 66502-2795 | 2019-06-25 |
| 1477112563 | Wamego Dental Professionals LLC | Clinic/Center | 1519 W Us Highway 24, Wamego, KS 66547-1322 | 2019-06-11 |
| 1235608902 | Luke Joliff, LLC | Clinic/Center | 11551 Granada St Ste 200, Leawood, KS 66211-1444 | 2018-11-24 |
| Find all providers with the same taxonomy | ||||
| City | PRAIRIE VILLAGE |
| Zip Code | 66206 |
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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.