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Clinton Clark Dpm LLC

Foot & Ankle Surgery Podiatrist in Boise, ID · enumerated 2007 · authorized official Clinton Clark, Owner.

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

National Provider Identifier

1104975168

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Registry record

Entity type Organization (Type 2)
Legal business name Clinton Clark Dpm LLC
Practice address 6051 N Eagle Rd, Boise, ID, 83713
Phone (208) 938-4670
Fax (208) 938-4675
Enumeration date Jan 9, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Clinton Clark
Title Owner
Phone (208) 928-4670

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.

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Frequently asked questions

What is the NPI number for Clinton Clark Dpm LLC?
The NPI for Clinton Clark Dpm LLC is 1104975168, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Clinton Clark Dpm LLC?
NPPES lists Clinton Clark (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.