PORTER JAMES CLARK


Address: 422 E Main St, Independence, KS 67301-3716
Phone: 6203313580

PORTER JAMES CLARK (NPI# 1679733265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679733265
Entity Type Individual
Full Name PORTER JAMES CLARK
Credential D.D.S.
Practice Address 422 E Main St
Independence
KS 67301-3716
Practice Telephone 6203313580
Practice Fax Number 6203313587
Mailing Telephone 6203313580
Mailing Fax Number 6203313587
Enumeration Date 2008-06-17
Last Update Date 2008-06-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4320 KS Dental Providers

Office Location

Street Address 422 E MAIN ST
City INDEPENDENCE
State KS
Zip Code 67301-3716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467680306 Beth Heckman D.d.s. L.L.C. Dentist 422 E Main St, Independence, KS 67301-3716 2009-06-30
1639307564 Mary E Heckman Dentist 422 E Main St, Independence, KS 67301-3716 2009-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417509217 Lee Ann Gingery Social Worker 116 1/2 West Myrtle, Independence, KS 67301 2019-07-11
1801180070 Jeffrey Neil Carnes Counselor 1101 Donald Avenue, Independence, KS 67301 2011-06-06
1699099077 Four County Mental Health Center Home Health 415 Fruitland, Independence, KS 67301 2010-03-15
1558570234 Rahab M Nduati Occupational Therapist 1000 W Mulberry Street, Independence, KS 67301 2007-05-21
1164639779 Robert M Osborn Do Pa Family Medicine 400 N. 14th St., Independence, KS 67301 2007-05-16
1619198280 Michael Alford Social Worker 3751 West Main, Independence, KS 67301 2007-05-01
1699836650 Dacia Christine Thiele Social Worker 200 Arco Suite 501, Independence, KS 67301 2006-12-13
1134157167 Carl L Mitchell Jr. Social Worker 220 E. Chestnut, Independence, KS 67301 2006-06-29
1437118239 Renal Treatment Centers West Inc Clinic/Center 801 W Myrtle St, Independence, KS 67301 2006-03-21
1649767112 Rachael Dawn Miles Counselor 3751 W Main St, Independence, KS 67301 2018-04-19
Find all providers in zip 67301

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568946523 Thomas M Bilski Dds and Associates Inc Dentist 6527 Brecksville Rd Ste B, Independence, OH 44131-4859 2018-09-17
1790276442 Julia Suzanne Jenkins Dentist 2052 Harris Pike # 54, Independence, KY 41051-7783 2018-05-29
1760920805 Mortenson Family Dental Center - Independence, LLC Dentist 2052 Harris Pike, Independence, KY 41051-7783 2017-02-09
1659768596 Terry Charles Williams Dentist 17008 E 45th St S, Independence, MO 64055-7630 2015-04-17
1154737658 Devishkumar H Patel Dentist 2320 W Main St, Independence, KS 67301-8435 2014-07-03
1609182286 Jeffrey David Peter Dentist 2025 Declaration Dr Ste B, Independence, KY 41051-7983 2010-08-20
1831427731 Michael James Beauregard Dentist 11105 E Winner Rd, Independence, MO 64052-3837 2009-12-03
1447458773 Danny Nakhla Dentist 5302 Madison Pike, Independence, KY 41051-8652 2007-07-09
1609071067 Carl James Stefaniak Dentist 6533 Brecksville Road, Suite A, Independence, OH 44131-4897 2007-06-17
1457554933 Leann Thuy Nguyen Dentist 3905 S Lynn Ct, Independence, MO 64055-3337 2007-06-11
Find all providers in INDEPENDENCE

Competitor

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City INDEPENDENCE
Zip Code 67301

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Dataset Information

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.

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