DR. BENJAMIN CLINKENBEARD DDS
NPI 1033210703
Dentist - General Practice in Fort Wayne, IN

Q: What is Benjamin Clinkenbeard's NPI number?

The NPI number for Benjamin Clinkenbeard is 1033210703. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Benjamin Clinkenbeard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 26, 2006PECOS Enrolled

3615 LAKE AVE, FORT WAYNE, IN 46805(260) 615-9177(260) 615-9177 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Benjamin Clinkenbeard Dds NPPES

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

DR. BENJAMIN CLINKENBEARD DDS (NPI 1033210703) is an individual general practice provider in Fort Wayne, Indiana, licensed in Indiana (12010541A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033210703

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BENJAMIN CLINKENBEARDCredential: DDS

Location Address3615 LAKE AVEFort Wayne, IN 46805-5539

Mailing Address3615 Lake AveFort Wayne, IN 46805-5539 · (260) 615-9177 · Fax (260) 615-9177

Phone(260) 615-9177

Fax(260) 615-9177

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateSeptember 29, 2009

✔ NPI 1033210703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12010541A

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3615 LAKE AVE, Fort Wayne, IN 46805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Benjamin Clinkenbeard Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. ROLAND FRED SLYBY DDS

Dentist

3615 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 424-6373

BOWSER FAMILY DENTISTRY LLC

Clinic/Center (Dental)

3615 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 424-6031

ROBERT STEPHEN SCHRECK DDS

Dentist (General Practice)

3615 LAKE AVE
FORT WAYNE, IN 46805

Allen County (260) 424-6031

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 Benjamin Clinkenbeard's NPI number?

The NPI number for Benjamin Clinkenbeard is 1033210703. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Benjamin Clinkenbeard located?

Benjamin Clinkenbeard practices at 3615 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 615-9177.

What is Benjamin Clinkenbeard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Benjamin Clinkenbeard enrolled in Medicare?

Yes. Benjamin Clinkenbeard is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Clinkenbeard accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Benjamin Clinkenbeard 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 Benjamin Clinkenbeard was last updated on September 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.