CLARK CHEN (NPI# 1790152403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790152403 |
| Entity Type | Individual |
| Full Name | CLARK CHEN |
| Credential | DMD |
| Practice Address |
5855 E Still Cir Mesa AZ 85206-3631 |
| Practice Telephone | 4802196000 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
61870 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932112265 | Clark C Chen | Dentist | 1806 San Miguel Dr, Walnut Creek, CA 94596 | 2006-08-15 |
| 1619592748 | Clark Jia-long Chen | Surgery | 5401 Old York Rd # Klein101, Philadelphia, PA 19141-3030 | 2020-06-15 |
| 1457733719 | Clark Chen | Psychiatry & Neurology | 2075 W Big Beaver Rd Ste 520, Troy, MI 48084-3442 | 2015-06-23 |
| 1437149523 | Clark C Chen | Neurological Surgery | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2005-10-28 |
| Street Address |
5855 E STILL CIR |
| City | MESA |
| State | AZ |
| Zip Code | 85206-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548489990 | Marjorie Wright | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2007-04-24 |
| 1912531781 | Hyrum Kenneth Mitchell | Student in an Organized Health Care Education/Training Program | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2020-03-02 |
| 1538717772 | Maya Johnson | Student in an Organized Health Care Education/Training Program | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2019-08-30 |
| 1932662590 | Aniruddha Wagh | Student in an Organized Health Care Education/Training Program | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2019-04-10 |
| 1144787367 | Shanice Shamela Algarin | Student in an Organized Health Care Education/Training Program | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2019-02-24 |
| 1326396383 | Steven Gregory Prince | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2012-08-24 |
| 1982959375 | Jeremiah W Sturgill | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2012-07-21 |
| 1811288384 | Satish S. Kumar | Dentist | 5855 E Still Cir, Mesa, AZ 85206 | 2011-05-02 |
| 1326349523 | A.t. Still University of Health Sciences | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2010-11-04 |
| 1063712750 | Roy Holexa | Dentist | 5855 E Still Cir, Mesa, AZ 85206-3631 | 2010-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497045694 | Nathanial Edward Farley | Dentist | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2011-04-10 |
| 1639469752 | Kent J Howell | Dentist | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2011-04-11 |
| 1942496468 | Lester James Bell | Dentist | 5850 E Still Cir, Mesa, AZ 85206-3618 | 2007-09-18 |
| 1396896288 | Rick Martin Smith | Dentist | 1259 N Power Rd, Suite 2, Mesa, AZ 85205-4909 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563691 | Surprise Implants & Prosthodontics Pllc | Dentist | 14967 W Bell Rd Ste 100, Surprise, AZ 85374-3201 | 2019-02-06 |
| 1720503758 | Russell John Crockett | Dentist | 5533 E Bell Rd Ste 120, Scottsdale, AZ 85254-1256 | 2017-08-10 |
| 1548792666 | Arrowhead Prosthodontics Pllc | Dentist | 18555 N 79th Ave Ste A101, Glendale, AZ 85308-8371 | 2017-03-29 |
| 1215360979 | Tamer El-gendy | Dentist | 3435 E Comstock Dr, Gilbert, AZ 85296-1892 | 2013-08-16 |
| 1982979456 | Joann Crystal Baxter | Dentist | 16127 E Powderhorn Dr, Fountain Hills, AZ 85268-6505 | 2012-03-17 |
| 1144453044 | Jeffrey D Lewis | Dentist | 5099 E Grant Rd Ste 330, Tucson, AZ 85712-2764 | 2009-08-26 |
| 1205074879 | Edward Kent Fritch | Dentist | 18650 N Thompson Peak Pkwy, Suite 2010, Scottsdale, AZ 85255-6190 | 2009-02-04 |
| 1740433713 | Mark Stephen Montana | Dentist | 2147 E Southern Ave, Tempe, AZ 85282-7503 | 2008-11-03 |
| 1801049010 | Fitzgerald Professional Corporation | Dentist | 7054 East Cochise Rd, B-230, Scottsdale, AZ 85253-4550 | 2008-10-31 |
| 1477709004 | Kevin Brian Cebrynski | Dentist | 9097 E Desert Cove Dr Ste 240, Scottsdale, AZ 85260-6277 | 2008-08-14 |
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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.