KATHRYN JAN CLARK


Address: 4110 River Rd Nw, Washington, DC 20016-4618
Phone: 2026862108

KATHRYN JAN CLARK (NPI# 1013467588) 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) 1013467588
Entity Type Individual
Full Name KATHRYN JAN CLARK
Other Name KATHRYN JAN HAVERKOS
Credential DDS
Practice Address 4110 River Rd Nw
Washington
DC 20016-4618
Practice Telephone 2026862108
Mailing Telephone 2026862108
Enumeration Date 2016-10-10
Last Update Date 2016-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
DEN1000899 DC Dental Providers

Other Providers KATHRYN CLARK

NPI Name Taxonomy Address Enumeration
1568628535 Kathryn Leigh Clark Psychologist 100 8th Ave, Brooklyn, NY 11215-1554 2008-07-30
1750449252 Kathryn M Clark Optometrist 2101 Jacob St. Suite 201, Valley Prof. Center South, Wheeling, WV 26003-6390 2006-12-05
1790861847 Kathryn Marie Clark Physical Therapist 1 Peachtree Dr, Savannah, GA 31419-1200 2006-10-31
1992745954 Kathryn M Clark Dietitian, Registered 221 Island Ave, Suite 101, San Diego, CA 92101-6936 2006-06-07
1013476928 Kathryn Clark Student in an Organized Health Care Education/Training Program 1 Akron General Ave, Akron, OH 44307-2432 2019-03-19
1861978488 Kathryn Clark Anesthesiology 200 1st St Sw, Rochester, MN 55905-0001 2018-07-17
1750898706 Kathryn Evalyn Clark Student in an Organized Health Care Education/Training Program 600 North Wolfe Street, The Johns Hopkins Hospital, Baltimore, MD 21287 2017-12-29
1891193736 Kathryn M Clark Community Health Worker 325 Sw Frazier Ave, Topeka, KS 66606-1963 2014-12-09
1821434317 Kathryn Anne Clark Counselor 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 2013-05-11
1013292218 Kathryn Clark Pharmacist 1000 Hugh Ward Blvd, Flowood, MS 39232-6600 2011-10-19

Office Location

Street Address 4110 RIVER RD NW
City WASHINGTON
State DC
Zip Code 20016-4618

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679024202 Darlene Byrd Dentist 4110 River Rd Nw, Washington, DC 20016-4618 2016-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790390144 Julie Marcus Nurse Practitioner 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 2020-09-12
1669080289 Rachel Mary Lipman Student in an Organized Health Care Education/Training Program 5185 Macarthur Blvd, Washington, DC 20016 2020-07-20
1285253484 Shawn Anthony Haupt Student in an Organized Health Care Education/Training Program 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 2020-04-09
1457991176 Joseph Stephen Driscoll Specialist/Technologist St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 2020-01-10
1164063293 Christine Ju Dietitian, Registered 3517 Ordway St Nw, Washington, DC 20016 2019-09-30
1376191072 Carlitta Theresa Harris Registered Nurse 501 School Street Suite, Suite 200, Sw, DC 20016 2019-08-27
1295399384 People's Lactation LLC Registered Nurse 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 2019-04-24
1578057428 Itzhak Brook General Practice 4431 Albemarle St. Nw, Washington, DC 20016 2018-06-14
1093211724 Hannah Elise Sterling Student in an Organized Health Care Education/Training Program 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 2018-04-02
1447755616 Michele Elizabeth Zaragoza Student in an Organized Health Care Education/Training Program 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 2018-03-28
Find all providers in zip 20016

Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083214829 Evenly Dc, Pllc Dentist 1619 Connecticut Ave Nw, Washington, DC 20009-1013 2020-10-30
1821605932 Candid Washington D.c., Pllc Dentist 700 5th St Nw Fl 2, Washington, DC 20001-2752 2020-09-23
1306472675 Cintia Helena Zingaretti Junqueira Mendes Dentist 110 Irving St Nw Ste Ga141d, Washington, DC 20010-3017 2020-03-19
1376178194 Infinity Orthodontics P.C. Dentist 1147 20th St Nw Ste 200, Washington, DC 20036-3573 2020-03-12
1235786328 Washington Airway & Wellness Center, LLC Dentist 1625 K St Nw Frnt 1, Washington, DC 20006-1610 2019-08-22
1366095440 John Shefferman Dentist 1747 Pennsylvania Ave Nw Ste 120, Washington, DC 20006-4604 2019-07-18
1417511627 Tusk Orthodontics Pllc Dentist 3900 Kansas Ave Nw Ste 101, Washington, DC 20011-5712 2019-04-24
1598265944 Family Orthodontics of Dc Pllc Dentist 5301 Wisconsin Ave Nw Ste 200, Washington, DC 20015 2018-02-12
1528412426 Hamid Reza Saranjam Dentist 818 18th St Nw Ste 747, Washington, DC 20006-3513 2016-04-17
1942540273 Madeleine Goodman Dentist 3701 Connecticut Ave Nw, #212, Washington, DC 20008-4556 2013-02-23
Find all providers in WASHINGTON

Competitor

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City WASHINGTON
Zip Code 20016

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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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