CLARK ORTHODONTICS, INC. (NPI# 1891083002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891083002 |
Entity Type | Organization |
Organization Name | CLARK ORTHODONTICS, INC. |
Practice Address |
650 W. Cherry St. Suite 5 North Liberty IA 52317 |
Practice Telephone | 3196263161 |
Mailing Telephone | 3196263161 |
Enumeration Date | 2011-07-21 |
Last Update Date | 2012-01-27 |
Authorized Official Name | TANNER CLARK (PRESIDENT) |
Authorized Official Telephone | 3196263161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
08218 | IA | Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | CLARK ORTHODONTICS, INC. | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 |
Street Address |
650 W. CHERRY ST. SUITE 5 |
City | NORTH LIBERTY |
State | IA |
Zip Code | 52317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831186097 | Sarah Elizabeth Clark | Dentist | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 | 2005-10-04 |
1790734796 | Tanner Jay Clark | Dentist | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 | 2006-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720625478 | Loving House of Hearts | In Home Supportive Care | 1129 Winchester Lane, North Liberty, IA 52317 | 2019-12-02 |
1508428673 | Sensory Kids Iowa | Speech-Language Pathologist | 754 Community Drive, Unit H, North Liberty, IA 52317 | 2019-06-28 |
1720443948 | Sarah Gallagher | Social Worker | 320 W Cherry St, North Liberty, IA 52317 | 2015-12-15 |
1902279797 | Emily Sara Logan | Social Worker | 1785 Curtis Bridge Road Ne, Okerberg and Associates, North Liberty, IA 52317 | 2015-11-03 |
1033515408 | Ashley Sconzo | Contractor | 1695 N Jones Blvd Apt 2, North Liberty, IA 52317 | 2014-11-13 |
1679900146 | Brianna June Clarahan | Physical Therapist | 1565 Cedar Springs Drive, North Liberty, IA 52317 | 2013-09-30 |
1649521121 | Ben Cooper Jorgensen | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317 | 2012-09-25 |
1164629937 | Mercy Physician Associates, Inc | Family Medicine | 1765 Lininger Lane, North Liberty, IA 52317 | 2007-06-27 |
1023141330 | Meadowlark Partners LLC | Clinical Neuropsychologist | 320 W. Cherry St, North Liberty, IA 52317 | 2007-03-14 |
1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
Find all providers in zip 52317 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831186097 | Sarah Elizabeth Clark | Dentist | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 | 2005-10-04 |
1790734796 | Tanner Jay Clark | Dentist | 650 W. Cherry St., Suite 5, North Liberty, IA 52317 | 2006-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629685722 | Candid Iowa, P.C. | Dentist | 309 Court Ave Ste 815, Des Moines, IA 50309-2282 | 2020-09-23 |
1508482852 | Elite Orthodontics LLC | Dentist | 222 Edgewood Road Nw, Cedar Rapids, IA 52405-4472 | 2020-06-23 |
1265906127 | Brad Podray Orthodontics LLC | Dentist | 201 S Ankeny Blvd, Ankeny, IA 50023-3116 | 2019-01-14 |
1366952368 | Holahan & Boe Orthodontics, Pllc | Dentist | 1013 Hudson Road, Cedar Falls, IA 50613 | 2017-10-04 |
1386172153 | Louis Wenger | Dentist | 5890 Morning Star Court, Pleasant Hill, IA 50327 | 2017-05-24 |
1447786033 | Michael Johnson | Dentist | 5429 Boulder Dr, West Des Moines, IA 50266-7260 | 2017-05-03 |
1356893283 | Austin Prescott Foster | Dentist | 8515 Douglas Ave Ste 26, Urbandale, IA 50322-2927 | 2016-10-26 |
1063835569 | Oliver Lee Willham | Dentist | 7400 Fleur Dr Ste 100, Des Moines, IA 50321-3105 | 2014-02-04 |
1831486356 | Shankar Rengasamy Venugopalan | Dentist | 322 Dental Science Bldg. S, Iowa City, IA 52242-1001 | 2011-07-05 |
1457666232 | Riverview Partners LLC | Dentist | 1111 Canal Shore Dr, Le Claire, IA 52753 | 2010-08-17 |
Find all providers with the same taxonomy |
City | NORTH LIBERTY |
Zip Code | 52317 |
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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.