DR. KEVIN MICHAEL CLARK (NPI# 1124402516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124402516 |
| Entity Type | Individual |
| Full Name | DR. KEVIN MICHAEL CLARK |
| Credential | DDS |
| Practice Address |
8 Inwood Peak San Antonio TX 78248-1654 |
| Practice Telephone | 2104788889 |
| Mailing Telephone | 2104788889 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 31012 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294001 | Kevin John Clark | Chiropractor | 2815 83rd St, Darien, IL 60561-1660 | 2017-06-08 |
| 1275976276 | Kevin P Clark | Pharmacist | 215 Sixth Street, Hotchkiss, CO 81419-0928 | 2013-04-10 |
| 1265736508 | Kevin Clark | Acupuncturist | 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 | 2010-12-30 |
| 1033361381 | Kevin Dewitt Clark | Acupuncturist | 130 N Dixie Hwy, Hollywood, FL 33020-6704 | 2008-10-17 |
| 1891859278 | Kevin Landis Clark | Optometrist | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2006-12-20 |
| 1609934397 | Kevin John Clark | Counselor | 251 E 5th St, Brooklyn, NY 11218-2403 | 2006-12-05 |
| 1912947144 | Kevin Grafton Clark | Optometrist | 5310 Highway 25, Suite 5, Flowood, MS 39232-6148 | 2006-06-07 |
| 1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
| 1497376958 | Kevin P. Clark Sr. | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2020-05-06 |
| 1245851104 | Kevin Clark | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2020-05-01 |
| Street Address |
8 INWOOD PEAK |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78248-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013443142 | Sarah Treat | Dietitian, Registered | 16535 Huebner, Suite 112, San Antonio, TX 78248 | 2017-05-10 |
| 1619351541 | Inmotion Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 15303 Huebner Rd., Bldg. 8, San Antonio, TX 78248 | 2015-07-09 |
| 1952707721 | Mary Ruesewald | Nurse Practitioner | 1150 Northwest Loop1604, San Antonio, TX 78248 | 2014-11-06 |
| 1538402672 | Luis Sergio Cardenas II | Nurse Practitioner | 16601 Huebner Road, San Antonio, TX 78248 | 2013-03-27 |
| 1225330004 | Saul Haskell Rosenthal | Psychiatry & Neurology | 14787 Cadillac Drive, San Antonio, TX 78248 | 2010-11-30 |
| 1609181833 | Thomas Charles Stehling | Pharmacist | 1150 Nw Loop 1604, San Antonio, TX 78248 | 2010-08-12 |
| 1366772329 | Allison M Luellen | Nurse Anesthetist, Certified Registered | 15 Marella Dr, San Antonio, TX 78248 | 2010-01-13 |
| 1740510718 | Gloria Sr John | Home Health | 2330 Winning Colors, San Antonio, TX 78248 | 2010-01-13 |
| 1831338318 | Julie Ann Cripps | Speech-Language Pathologist | 14215 Cavalcade, San Antonio, TX 78248 | 2009-02-06 |
| 1669647806 | Alhashmin A Murji | Family Medicine | 16675 Huebner Rd Ste 210, San Antonio, TX 78248 | 2008-04-29 |
| Find all providers in zip 78248 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555780 | Tpc Dental Care PC | Dentist | 2610 Tpc Pkwy Ste 102, San Antonio, TX 78259-2394 | 2020-10-09 |
| 1144831629 | Eduardo Marmelstein Lima | Dentist | 7072 Bandera Rd, San Antonio, TX 78238-1201 | 2020-08-10 |
| 1255954525 | Wecare Family Dentistry Cosmetic & Dental Center Pllc. | Dentist | 7228 Bandera Rd Ste 104, San Antonio, TX 78238-1205 | 2020-05-21 |
| 1255951802 | Smilegivers Professional Corporation | Dentist | 8725 Marbach Rd Ste 201, San Antonio, TX 78227-2378 | 2020-04-23 |
| 1114555687 | Yvette Alexis Martinez | Dentist | 25235 Ih 10 W Ste 201, San Antonio, TX 78257-2105 | 2020-03-31 |
| 1861027153 | Converse Smiles Pllc | Dentist | 4230 N Foster Road, San Antonio, TX 78219 | 2020-03-06 |
| 1235761008 | Estrella and Rodrigo Dds Pllc | Dentist | 24815 Us Highway 281 N Ste 108, San Antonio, TX 78258-2601 | 2020-02-10 |
| 1043854995 | Sa Smiles, Pllc | Dentist | 1114 Sw Military Dr Ste 112, San Antonio, TX 78221-1512 | 2019-11-04 |
| 1740839828 | Hunter Ryan Acord | Dentist | 8210 Floyd Curl Dr # 8118, San Antonio, TX 78229-3923 | 2019-09-10 |
| 1922653518 | Potranco Dentistry, PC | Dentist | 10538 Potranco Rd Ste 206, San Antonio, TX 78251-3359 | 2019-08-09 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78248 |
Please comment or provide details below to improve the information on DR. KEVIN MICHAEL 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.