Mike Clark, DDS

ActiveIndividual ProviderDentistry
NPI issued: December 8, 2005

Quick Facts

NPI Number
1093790396
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(509) 966-9253
StateWA

NPI Validation Status: Verified

Valid 10-digit NPI number (1093790396)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (December 8, 2005)
Data source: CMS NPPES

Provider Overview

MIKE CLARK, DDS is a Dentistry provider based in Yakima, WA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1093790396
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateDecember 8, 2005

Practice Location

CityYakima
StateWA
ZIP Code98908-3804
Phone(509) 966-9253

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateWA

Mailing Address

CityYakima
StateWA
ZIP Code98908-3804
Phone(509) 966-9253
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1093790396 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1093790396for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1093790396 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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174,905
Dentistry Providers in the US

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People Also Ask

What is Mike Clark's NPI number?
Mike Clark's NPI number is 1093790396, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mike Clark's NPI currently active?
Yes, Mike Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Mike Clark specialize in?
Mike Clark specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Mike Clark practice?
Mike Clark practices in Yakima, WA 98908-3804.
When was Mike Clark's NPI issued?
Mike Clark's NPI was issued on December 8, 2005.
What is Mike Clark's provider type?
Mike Clark is registered as an Individual Provider under CMS NPI Type 1.