Clark Mantooth
NPI 1710737770 · Student in an Organized Health Care Education/Training Program · Nellis Afb, NV
Clark Mantooth is a Student in an Organized Health Care Education/Training Program provider in Nellis Afb, NV (NPI 1710737770).
Provider details
- NPI number
- 1710737770
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- 102209624 (VA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 102209624 (VA)
Student, Health Care
- Military Health Care Provider171000000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-03-25
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Clark Mantooth's NPI number?
- Clark Mantooth's National Provider Identifier (NPI) is 1710737770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Mantooth's specialty?
- Clark Mantooth is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Clark Mantooth located?
- Clark Mantooth's practice location on file with NPPES is 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6601.
- What is Clark Mantooth's phone number?
- The practice phone number listed in the NPPES registry for Clark Mantooth is (702) 653-2273.
- Is Clark Mantooth's NPI active?
- Yes — Clark Mantooth's NPI (1710737770) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.