IndividualActive
Destiny Clark
NPI 1700578010 · Prosthetic/Orthotic Supplier · Ridgeland, MS
Destiny Clark is a Prosthetic/Orthotic Supplier provider in Ridgeland, MS (NPI 1700578010).
Provider details
- NPI number
- 1700578010
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
6811 Old Canton Rd Apt 3305
Ridgeland, MS 39157-1247
Phone: (769) 231-7366
Street-level locationGet directions
Mailing address
4780 I 55 N Ste 100 Pmb 2296
Jackson, MS 39211-5583
Registry dates
- Enumerated
- 2023-05-24
- Last updated
- 2023-05-24
- Certified
- 2023-05-24
Frequently asked questions
- What is Destiny Clark's NPI number?
- Destiny Clark's National Provider Identifier (NPI) is 1700578010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Destiny Clark's specialty?
- Destiny Clark is listed in the NPPES registry with a primary specialty of Prosthetic/Orthotic Supplier (Suppliers).
- Where is Destiny Clark located?
- Destiny Clark's practice location on file with NPPES is 6811 Old Canton Rd Apt 3305, Ridgeland, MS 39157-1247.
- What is Destiny Clark's phone number?
- The practice phone number listed in the NPPES registry for Destiny Clark is (769) 231-7366.
- Is Destiny Clark's NPI active?
- Yes — Destiny Clark's NPI (1700578010) is active in the NPPES registry as of the last update on 2023-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.