KATHRYN JAN CLARK DDS
NPI 1013467588
Dentist - Orthodontics and Dentofacial Orthopedics in Washington, DC

Active since October 10, 2016
4110 RIVER RD NW, WASHINGTON, DC 20016(202) 686-2108 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Jan Clark Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN JAN CLARK DDS (NPI 1013467588) is an individual orthodontics and dentofacial orthopedics provider in Washington, District Of Columbia, licensed in District Of Columbia (DEN1000899) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1013467588
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameKATHRYN JAN CLARKCredential: DDS
Location Address4110 RIVER RD NWWashington, DC 20016-4618
Mailing Address4110 River Rd NwWashington, DC 20016-4618 · (202) 686-2108
Sole ProprietorNo
Enumeration DateOctober 10, 2016
NPI 1013467588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in DC · DEN1000899
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4110 RIVER RD NW, Washington, DC 20016

Other Names 1

Former Name (1)Kathryn Jan Haverkos Dds

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
4110 RIVER RD NW
WASHINGTON, DC 20016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Clark's NPI number?

The NPI number for Kathryn Clark is 1013467588. It was assigned to this individual provider in the NPPES registry on October 10, 2016. The provider is also known as Kathryn Jan Haverkos Dds.

Where is Kathryn Clark located?

Kathryn Clark practices at 4110 River Rd NW, Washington, DC 20016. The listed phone number is (202) 686-2108.

What is Kathryn Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Kathryn Clark was last updated on October 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.