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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DEN1000899 | DC | Dental Providers |
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 |
Street Address |
4110 RIVER RD NW |
City | WASHINGTON |
State | DC |
Zip Code | 20016-4618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679024202 | Darlene Byrd | Dentist | 4110 River Rd Nw, Washington, DC 20016-4618 | 2016-10-19 |
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 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 |
---|---|---|---|---|
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 |
City | WASHINGTON |
Zip Code | 20016 |
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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.