Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Kevin John Clark, LCPO
Orthotist in Seattle, WA · enumerated 2013.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790115004
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Registry record
Entity type Individual (Type 1)
Name Mr. Kevin John Clark
Credential LCPO
Sex Male
Practice address 411 12th Ave, Suite 200, Seattle, WA, 98122
Phone (206) 328-4276
Fax (206) 328-1037
Enumeration date Nov 22, 2013
Last updated in NPPES Nov 22, 2013
Taxonomy & licenses
222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 01 60414623 (WA) Primary
224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PS 60414610 (WA) Secondary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015561 | Medicaid | WA | - |
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
How do I verify Kevin Clark's NPI record?
Cross-check NPI 1790115004 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1790115004 active?
Yes, as of the latest NPPES snapshot, NPI 1790115004 is active (record last updated 2013-11-22).
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-22.