What is Demetrius Clark's NPI number?

Demetrius Clark's National Provider Identifier (NPI) is 1154215069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Demetrius Clark's specialty?

Demetrius Clark is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Demetrius Clark located?

Demetrius Clark's practice location on file with NPPES is 77 E Woodbury Dr Ste 110, Dayton, OH 45415-2853.

What is Demetrius Clark's phone number?

The practice phone number listed in the NPPES registry for Demetrius Clark is (937) 212-5290.

Is Demetrius Clark's NPI active?

Yes — Demetrius Clark's NPI (1154215069) is active in the NPPES registry as of the last update on 2025-06-05.

IndividualActive

Demetrius Clark

NPI 1154215069 · Case Manager/Care Coordinator · Dayton, OH

Demetrius Clark is a Case Manager/Care Coordinator provider in Dayton, OH (NPI 1154215069).

Provider details

NPI number: 1154215069
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% 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

77 E Woodbury Dr Ste 110

Dayton, OH 45415-2853

Phone: (937) 212-5290

Street-level locationGet directions

More OH providers

Mailing address