Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1326670365 Deactivated / Inactive NPI Male Practitioner

David Clark

Contractor • Indianapolis, IN

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2020
NPI Deactivation Date October 07, 2020
Total Practice Duration ~1 Years of Practice (2020 – 2020)

Professional Overview & Biography Verified Profile Summary

David Clark was a registered Contractor practicing in Indianapolis, IN. Throughout an active medical career spanning 1 years, David Clark provided care at the practice location at 2346 S LYNHURST DR STE 200 until profile deactivation on 2020-10-07.

Practice Location & Contact Primary Location

Practice Address

2346 S Lynhurst Dr Ste 200

Indianapolis, IN 462415135

Telephone 3175021456
Associated Practice Facility / Clinic
🏢 Ch Mh Services (In), Llc Facility NPI 1225772668

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
260 Specialists

Practicing in Indianapolis, IN (338 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-09
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Ronnie Wilson

Contractor

NPI 1023870052
Tamara Mayo

Contractor

NPI 1063044006
Angela Rogers

Contractor

NPI 1073145017
NPI 1093364523
Myles Ervin

Contractor

NPI 1114789146
Marcus Reynolds

Case Manager/Care Coordinator

NPI 1164029674

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 09, 2021

Registered at 2346 S LYNHURST DR STE 200, INDIANAPOLIS, IN 462415135 (Tel: 3175021456)

📍
Updated Business Mailing Address December 09, 2021

Registered at 2346 S LYNHURST DR STE 200, INDIANAPOLIS, IN 462415135 (Tel: 3175021456)

👤
Provider Name / Credentials Updated December 09, 2021

Recorded as DAVID CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2021

Contractor

⚠️
NPI Profile Deactivated October 07, 2020

Record deactivated on October 07, 2020

NPI Profile Active February 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2020

Registered at 2346 S LYNHURST DR STE 200, INDIANAPOLIS, IN 462415135 (Tel: 3175021456)

📍
Updated Business Mailing Address February 07, 2020

Registered at 2346 S LYNHURST DR STE 200, INDIANAPOLIS, IN 462415135 (Tel: 3175021456)

👤
Provider Name / Credentials Updated February 07, 2020

Recorded as DAVID CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2020

Contractor

🟢
Initial NPI Registration & Enumeration February 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for David Clark. Be the first to share your experience!

Sign in to leave a review for David Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1326670365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2020
Last Update: December 09, 2021
Deactivation Date: October 07, 2020
Sole Proprietor: No

Mailing Address

2346 S Lynhurst Dr Ste 200

Indianapolis, IN 462415135

Phone: 3175021456

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.