Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Derek Clark, BOCO C.PED
Orthotist in Albuquerque, NM · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1497161590
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Registry record
Entity type Individual (Type 1)
Name Mr. Derek Clark
Credential BOCO C.PED
Sex Male
Practice address 5111 Juan Tabo Blvd Ne, Ste A, Albuquerque, NM, 87111
Phone (505) 200-9004
Fax (505) 271-0217
Enumeration date Jul 9, 2014
Last updated in NPPES Jul 9, 2014
Taxonomy & licenses
222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License C49914 (MD) 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.
Frequently asked questions
What specialty is Derek Clark?
Derek Clark is registered in NPPES with the primary taxonomy of Orthotist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-07-09.