DR. ROBERT KENNETH CLARK M.D.
NPI 1376530600
Specialist in Oklahoma City, OK
NPI Status: Active since October 03, 2005
Contact Information
11317 S WESTERN AVE
900
OKLAHOMA CITY, OK
ZIP 73170
Phone: (405) 691-8855
Fax: (405) 691-8891
- Individual
- Male
- Specialist
About ROBERT CLARK
This page provides the complete NPI Profile along with additional information for Robert Clark, a provider established in Oklahoma City, Oklahoma with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1376530600 assigned on October 2005. The practitioner's primary taxonomy code is 174400000X with license number 13610 (OK). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1376530600
- Provider Name
- DR. ROBERT KENNETH CLARK M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11317 S WESTERN AVE 900 OKLAHOMA CITY, OK 73170
- Location Phone
- (405) 691-8855
- Location Fax
- (405) 691-8891
- Mailing Address
- 11401 S WESTERN AVE OKLAHOMA CITY, OK 73170
- Mailing Phone
- (405) 735-3041
- Mailing Fax
- (405) 691-8891
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-03-2005
- Last Update Date
- 01-20-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 13610
- License State
- OK
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100060770B | MEDICAID (05) | OK | |
| D34504 | MEDICARE UPIN (02) | OK |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 5 | 3 | 0 | 6 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 10 | 3 | 0 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 0 + 3 + 0 + 6 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1376530600 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699777375 | DR. DAVID L SCHWARTZ DMD Individual | Dentist (Oral and Maxillofacial Surgery) | 11317 S WESTERN AVE SUITE 100B OKLAHOMA CITY, OK 73170 (405) 691-0100 |
| 1154443828 | DR. RODNEY ARTHUR SANDBURG II D.D.S. Individual | Dentist (General Practice) | 11317 S WESTERN AVE 400 OKLAHOMA CITY, OK 73170 (405) 378-6800 |
| 1386819456 | DAVID L. SCHWARTZ D.M.D. Organization | Dentist (Oral and Maxillofacial Surgery) | 11317 S WESTERN AVE SUTIE 100B OKLAHOMA CITY, OK 73170 (405) 691-0100 |
| 1487758447 | TAYLOR DRUG OPERATING SERVICES INC Organization | Pharmacy (Long Term Care Pharmacy) | 11317 S WESTERN AVE STE 200 OKLAHOMA CITY, OK 73170 (405) 616-1941 |
| 1962676916 | WESTMOORE DENTAL STUDIO Organization | Dentist (General Practice) | 11317 S WESTERN AVE BUILDING 500 OKLAHOMA CITY, OK 73170 (405) 692-5800 |
| 1689731069 | CHRISTINE N. DYER PHARMD Individual | Pharmacist | 11317 S WESTERN AVE OKLAHOMA CITY, OK 73170 (405) 616-1941 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376530600, enumerated in the NPI registry as an "individual" on October 03, 2005
The provider is located at 11317 S Western Ave 900 Oklahoma City, Ok 73170 and the phone number is (405) 691-8855
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 03, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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