Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Desirae Clark

Prosthetic/Orthotic Supplier in Kansas City, MO · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477100717

Verified

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Registry record

Entity type Individual (Type 1)

Name Desirae Clark

Sex Female

Practice address Kansas City, MO, 64110

Phone (826) 749-9147

Enumeration date Aug 21, 2019

Last updated in NPPES Aug 21, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

335E00000X Prosthetic/Orthotic Supplier Suppliers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Desirae Clark practice?

The practice location on file with NPPES is in Kansas City, MO. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Desirae Clark?

The National Provider Identifier (NPI) for Desirae Clark is 1477100717, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-08-21.