DR. DAVID P CLARK MD
NPI 1164479416
Dermatology - MOHS-Micrographic Surgery in Loveland, CO

Active since May 30, 2006
776 W EISENHOWER BLVD, LOVELAND, CO 80537(970) 667-3116(970) 669-0159 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David P Clark Md NPPES

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

DR. DAVID P CLARK MD (NPI 1164479416) is an individual mohs-micrographic surgery provider in Loveland, Colorado, licensed in Colorado (20721) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1164479416
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. DAVID P CLARKCredential: MD
Location Address776 W EISENHOWER BLVDLoveland, CO 80537-3157
Mailing Address776 W Eisenhower BlvdLoveland, CO 80537-3157 · (970) 667-3116 · Fax (970) 669-0159
Fax(970) 669-0159
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateSeptember 1, 2016
NPI 1164479416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in CO · 20721
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 20721 (CO)
776 W EISENHOWER BLVD, Loveland, CO 80537

Other Identifiers 1

Medicare UPINA12967OH

Other Providers at the Same Location NPPES

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

Dermatology (Dermatopathology)
776 W EISENHOWER BLVD
LOVELAND, CO 80537

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 David Clark's NPI number?

The NPI number for David Clark is 1164479416. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is David Clark located?

David Clark practices at 776 W Eisenhower Blvd, Loveland, CO 80537. The listed phone number is (970) 667-3116.

What is David Clark's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for David Clark was last updated on September 1, 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.