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DILLON CLARK
NPI 1255290524
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Active since January 21, 2026
921 S 8TH AVE, POCATELLO, ID 83209(208) 282-4636 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dillon Clark NPPES

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

DILLON CLARK (NPI 1255290524) is an individual student in an organized health care education/training program in Pocatello, Idaho and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1255290524
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDILLON CLARK
Location Address921 S 8TH AVEPocatello, ID 83209-8105
Mailing Address1002 Samuel St Trlr 111Pocatello, ID 83204-2091
Phone(208) 282-4636
Sole ProprietorNo
Enumeration DateJanuary 21, 2026
NPPES CertifiedJanuary 21, 2026
✔ NPI 1255290524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
921 S 8TH AVE, Pocatello, ID 83209
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Other Providers at the Same Location NPPES 20

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

BAILEY CAROLINE FRY ATS
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 240-3247
HANNA MYKAL CROZIER
Student in an Organized Health Care Education/Training Program
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 530-3692
IDAHO STATE UNIVERSITY
Local Education Agency (LEA)
921 S 8TH AVE, MAIL STOP 8219
POCATELLO, ID 83209
Bannock County (208) 282-3540
DR. DUSTYN SLADE LEE WALTON PT, DPT, ATC
Physical Therapist (Sports)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (307) 696-5885
MICHELLE METCALF DMD
Dentist
921 S 8TH AVE, CAMPUS BOX 8088
POCATELLO, ID 83209
Bannock County (208) 282-6000
RACHEL ERIN GEOGHEGAN ATC
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 479-9142
COBY YOUNG
Specialist/Technologist (Athletic Trainer)
921 S 8TH AVE
POCATELLO, ID 83209
Bannock County (208) 589-9324
MARK WEST ROBERTS PH.D.
Psychologist (Clinical Child & Adolescent)
921 S 8TH AVE, GARRISON HALL 525 STOP 8021
POCATELLO, ID 83209
Bannock County (208) 282-2129

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 Dillon Clark's NPI number?

The NPI number for Dillon Clark is 1255290524. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Dillon Clark located?

Dillon Clark practices at 921 S 8th Ave, Pocatello, ID 83209. The listed phone number is (208) 282-4636.

What is Dillon Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dillon Clark was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.