Derek Clark, BOCO C.PED
NPI 1497161590 · Orthotist · Albuquerque, NM
Derek Clark, BOCO C.PED is a Orthotist provider in Albuquerque, NM (NPI 1497161590).
Provider details
- NPI number
- 1497161590
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- BOCO C.PED
- Sex
- Male
- Sole proprietor
- No
- License
- C49914 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2014-07-09
- Last updated
- 2014-07-09
Frequently asked questions
- What is Derek Clark's NPI number?
- Derek Clark's National Provider Identifier (NPI) is 1497161590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Clark's specialty?
- Derek Clark is listed in the NPPES registry with a primary specialty of Orthotist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Derek Clark located?
- Derek Clark's practice location on file with NPPES is 5111 Juan Tabo Blvd Ne, Albuquerque, NM 87111.
- What is Derek Clark's phone number?
- The practice phone number listed in the NPPES registry for Derek Clark is (505) 200-9004.
- Is Derek Clark's NPI active?
- Yes — Derek Clark's NPI (1497161590) is active in the NPPES registry as of the last update on 2014-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.