Clinton Clark DPM LLC
NPI 1104975168 · Foot & Ankle Surgery Podiatrist · Boise, ID
Clinton Clark DPM LLC is a Foot & Ankle Surgery Podiatrist organization in Boise, ID (NPI 1104975168).
Provider details
- NPI number
- 1104975168
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Clinton Clark, Owner(208) 928-4670
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2020-08-22
Frequently asked questions
- What is Clinton Clark DPM LLC's NPI number?
- Clinton Clark DPM LLC's National Provider Identifier (NPI) is 1104975168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clinton Clark DPM LLC?
- Clinton Clark DPM LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Clinton Clark DPM LLC located?
- Clinton Clark DPM LLC's practice location on file with NPPES is 6051 N Eagle Rd, Boise, ID 83713-0997.
- What is Clinton Clark DPM LLC's phone number?
- The practice phone number listed in the NPPES registry for Clinton Clark DPM LLC is (208) 938-4670.
- Who is the authorized official for Clinton Clark DPM LLC?
- The authorized official listed on Clinton Clark DPM LLC's NPPES record is Clinton Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clinton Clark DPM LLC's NPI active?
- Yes — Clinton Clark DPM LLC's NPI (1104975168) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.