DR. SHANE THOMAS CLARK DMD
NPI 1003220203
Dentist - Endodontics in Albuquerque, NM
About Dr. Shane Thomas Clark Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANE THOMAS CLARK DMD (NPI 1003220203) is an individual endodontics provider in Albuquerque, New Mexico, licensed in New Mexico (DD4100) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Accepted Insurance
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. Shane Thomas Clark Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shane Clark's NPI number?
The NPI number for Shane Clark is 1003220203. It was assigned to this individual provider in the NPPES registry on June 16, 2014.
Where is Shane Clark located?
Shane Clark practices at 2800 Coors Blvd NW, Albuquerque, NM 87120. The listed phone number is (505) 352-1166.
What is Shane Clark's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Shane Clark enrolled in Medicare?
Yes. Shane Clark is registered in the Medicare PECOS enrollment system.
What insurance does Shane Clark accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Shane Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shane Clark was last updated on September 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.
