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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
4320 | KS | Dental Providers |
Street Address |
422 E MAIN ST |
City | INDEPENDENCE |
State | KS |
Zip Code | 67301-3716 |
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 |
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 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 |
---|---|---|---|---|
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 |
City | INDEPENDENCE |
Zip Code | 67301 |
Please comment or provide details below to improve the information on PORTER JAMES CLARK.
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.