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DR. NICHOLAS WILLIAM CLARK MD
NPI 1386106201
Otolaryngology - Facial Plastic Surgery in Oklahoma City, OK

Active since April 01, 2019PECOS Enrolled
3300 NW 56TH ST STE 202, OKLAHOMA CITY, OK 73112(405) 555-1234 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2024, May 14, 2024, Apr 1, 2019 (3 updates tracked since 2019).

About Dr. Nicholas William Clark Md NPPES

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

DR. NICHOLAS WILLIAM CLARK MD (NPI 1386106201) is an individual facial plastic surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45294) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386106201
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. NICHOLAS WILLIAM CLARKCredential: MD
Location Address3300 NW 56TH ST STE 202Oklahoma City, OK 73112-4401
Mailing Address3300 Nw 56th St Ste 202Oklahoma City, OK 73112-4401
Phone(405) 555-1234
Sole ProprietorYes
Enumeration DateApril 1, 2019
Last NPPES UpdateOctober 22, 20253 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1386106201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in OK · 45294
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 99942 (GA), 249966 (NC)
3300 NW 56TH ST STE 202, Oklahoma City, OK 73112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas William Clark Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

KELBY LEE SUNARTO APRN
Nurse Practitioner (Family)
3300 NW 56TH ST STE 202
OKLAHOMA CITY, OK 73112
Oklahoma County (405) 702-9000

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 Nicholas Clark's NPI number?

The NPI number for Nicholas Clark is 1386106201. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Nicholas Clark located?

Nicholas Clark practices at 3300 NW 56th St Ste 202, Oklahoma City, OK 73112. The listed phone number is (405) 555-1234.

What is Nicholas Clark's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Nicholas Clark enrolled in Medicare?

Yes. Nicholas Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Clark was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.