Justin Clark, MD

NPI: 1639164098

Justin Clark, MD

Q: What is Justin Clark's NPI number?

Justin Clark's NPI number is 1639164098, a unique 10-digit identifier issued by CMS.

Q: What does Justin Clark specialize in?

Justin Clark specializes in Dermatology, taxonomy code 207N00000X.

Q: Where does Justin Clark practice?

Justin Clark practices in Lubbock, TX 79410-1309.

Q: When was Justin Clark's NPI issued?

Justin Clark's NPI was issued on September 13, 2005.

Q: What is Justin Clark's provider type?

Justin Clark is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderDermatology

NPI issued: September 13, 2005

Quick Facts

NPI Number

1639164098

TypeIndividual

StatusActive

SpecialtyDermatology

Taxonomy207N00000X — Dermatology

Phone

(806) 796-7193

StateTX

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1639164098)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (September 13, 2005)

Data source: CMS NPPES

Provider Overview

JUSTIN CLARK, MD is a Dermatology provider based in Lubbock, TX who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1639164098

Provider TypeIndividual Provider

GenderMale

CredentialMD

StatusActive

Enumeration DateSeptember 13, 2005

Practice Location

CityLubbock

StateTX

ZIP Code79410-1309

Phone(806) 796-7193

Specialties & Licenses

★ Primary

SpecialtyDermatology

Taxonomy Code207N00000X

License StateTX

Mailing Address

CityLubbock

StateTX

ZIP Code79410-1309

Phone(806) 796-7193

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1639164098 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1639164098for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1639164098 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.