JEFFREY B CLARK (NPI# 1881722049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881722049 |
| Entity Type | Individual |
| Full Name | JEFFREY B CLARK |
| Credential | DDS |
| Practice Address |
5990 Sw 28th St Suite D Topeka KS 66614-3525 |
| Mailing Address |
5990 Sw 28th St Topeka KS 66614-2545 |
| Practice Telephone | 7852732565 |
| Practice Fax Number | 7852732567 |
| Mailing Telephone | 7852732565 |
| Mailing Fax Number | 7852732567 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60087 | KS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS PROVIDER # | 116611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505914 | Jeffrey Scott Clark | Counselor | 402 E Yakima Ave Ste 800-c, Yakima, WA 98901-5407 | 2020-03-31 |
| 1063805844 | Jeffrey Clark | Specialist/Technologist | 315 Reber Ave, Lancaster, OH 43130-1761 | 2015-03-18 |
| 1134535248 | Jeffrey Clark | Hearing Instrument Specialist | 123 E Mondamin St, Minooka, IL 60447-9896 | 2014-07-09 |
| 1174942353 | Jeffrey Clark | Pediatrics | 9576 Hwy 70, Department of Pediatrics, Minocqua, WI 54548 | 2014-04-15 |
| 1881958767 | Jeffrey Kenneth Clark | Pharmacist | 12850 E Montview Blvd Ste C238, Aurora, CO 80045-2605 | 2012-06-26 |
| 1912285495 | Jeffrey S Clark | Chiropractor | 203 Railroad St Ste 3c, Buda, TX 78610-3437 | 2011-08-01 |
| 1003100934 | Jeffrey Paul Clark | Dentist | 1403 N Loop 336 W, Conroe, TX 77304-3503 | 2011-06-08 |
| 1942520044 | Jeffrey B Clark | Dentist | 2133 Belcourt Avenue, Nashville, TN 37212-3503 | 2010-06-11 |
| 1730405333 | Jeffrey Clark | Pharmacist | 611 N Perry St, Bldg #2, Suite 202, Spokane, WA 99202-5011 | 2010-04-08 |
| 1891989158 | Jeffrey Michael Clark | Dentist | 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 | 2007-08-30 |
| Street Address |
5990 SW 28TH ST SUITE D |
| City | TOPEKA |
| State | KS |
| Zip Code | 66614-3525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942330782 | Jeffrey Clark | Dentist | 5990 Sw 28th St, Suite D, Topeka, KS 66614-2545 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205356516 | James Michael Mcgill | Counselor | 2121 Sw Chelsea Dr., Topeka, KS 66614 | 2017-06-27 |
| 1366988339 | Tracy Sprague | Nurse Practitioner | 2655 Sw Wanamaker, Topeka, KS 66614 | 2017-01-13 |
| 1336518976 | Pearlie Mae's Compassion and Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2956 Sw Seabrook Ave, Topeka, KS 66614 | 2015-09-24 |
| 1124424924 | Sunflower Smiles Pediatric Dentistry | Dentist | 3635 Sw Fairlawn Road, Suite 1, Topeka, KS 66614 | 2014-11-06 |
| 1902200371 | Katie Lynn Schippers | Pharmacist | 55311 Sw 22nd Pl, Topeka, KS 66614 | 2014-10-14 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1538583190 | Arnold V. Mueller | Internal Medicine | 2737 S.w. Bluestem Dr., Topeka, KS 66614 | 2014-02-18 |
| 1477991610 | Robert Roy Payne | Orthopaedic Surgery | 2403 Southwest Brookhaven Lane, Robert R. Payne, M.d, Topeka, KS 66614 | 2013-06-10 |
| 1134425556 | Dale Lake | Case Manager/Care Coordinator | 2706 Sw Tutbury Town Rd, Topeka, KS 66614 | 2011-02-02 |
| 1013248558 | Aline Boutz | Assisted Living Facility | 7720 Sw Asbury Dr, Topeka, KS 66614 | 2010-01-22 |
| Find all providers in zip 66614 | ||||
| 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 |
|---|---|---|---|---|
| 1740772722 | Nathan A Ideus | Dentist | 1835 Nw Topeka Blvd Ste 111, Topeka, KS 66608-1892 | 2018-06-05 |
| 1699137109 | Country Club Dental Pa | Dentist | 400 Sw 29th St, Suite M, Topeka, KS 66611-1164 | 2016-03-23 |
| 1457767105 | Eugene Curtis | Dentist | 2221 Sw Auburn Rd, Topeka, KS 66614 | 2014-07-02 |
| 1417372921 | Bhavna Kapoor | Dentist | 400 Sw 29th Street, Topeka, KS 66611-1164 | 2014-02-20 |
| 1932358488 | Rutherford-peterson Dentistry LLC | Dentist | 3316 Se 28th Terrace, Topeka, KS 66605 | 2008-09-09 |
| 1831308105 | Brenda Jane Gloor Pruitt | Dentist | 214 S. Main St., Topeka, IN 46571 | 2007-05-22 |
| 1467540369 | Robert L. Bell | Dentist | 2930 Sw Wanamaker Dr Ste 7, Topeka, KS 66614-4116 | 2006-10-10 |
| 1891881389 | James G Pratt | Dentist | 5605 Sw Barrington Ct S, Suite 200, Topeka, KS 66614 | 2006-10-04 |
| 1588765572 | Robert E. Lacy | Dentist | 4301 Sw Huntoon St Ste 8, Topeka, KS 66604-1967 | 2006-09-25 |
| 1124132915 | Russell A Forrest Jr. | Dentist | 2300 Sw 29th St, Suite 221, Topeka, KS 66611-1739 | 2006-08-18 |
| Find all providers in TOPEKA | ||||
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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.