Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Frederick Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629230479

Dr. David Frederick Clark, MD is a Neurology in Overland Park, Kansas. Graduated from University of Texas Southwestern Medical School at Dallas in 2008, 18 years ago. Practices with Johnson County Neurology LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Ohio.

Years since qualifying
18
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
KS, OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12140 Nall Ave Ste 230
Overland Park, KS 66209-2503
Phone: (913) 661-9448
Fax: (913) 661-4688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 0436405 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1629230479
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 1, 2008
Last updated in NPPESJune 12, 2013
Mailing address12140 Nall Ave, Suite 230, Overland Park, KS 66209-2503

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2008 (18 years in practice)
Group practice Johnson County Neurology Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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