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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CANDICE ELLA CLARK DDS
NPI 1124018379
Dentist - General Practice in Farmington, NM

Active since October 27, 2005PECOS Enrolled
506 AIRPORT DR, FARMINGTON, NM 87401(505) 325-7700(505) 327-5710 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Candice Ella Clark Dds NPPES

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

DR. CANDICE ELLA CLARK DDS (NPI 1124018379) is an individual general practice provider in Farmington, New Mexico, licensed in New Mexico (DD2673) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124018379
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. CANDICE ELLA CLARKCredential: DDS
Location Address506 AIRPORT DRFarmington, NM 87401-2602
Mailing Address530 N Telshor Blvd, Suite ALas Cruces, NM 88011-8243 · (505) 532-5437 · Fax (505) 522-4138
Phone(505) 325-7700
Fax(505) 327-5710
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1124018379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD2673
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.
506 AIRPORT DR, Farmington, NM 87401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Candice Ella Clark 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 87401 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 4

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

ATENAS DE TABOADA DA SILVA DMD
Dentist (General Practice)
506 AIRPORT DR
FARMINGTON, NM 87401
San Juan County (505) 325-7700
DR. EDWARD E NEUBAUER DDS
Dentist (General Practice)
506 AIRPORT DR
FARMINGTON, NM 87401
San Juan County (505) 325-7700
DR. CHRISTIAN RAY REYNOLDS BS, MS, DMD
Dentist
506 AIRPORT DR
FARMINGTON, NM 87401
San Juan County (505) 325-7700
DR. GARRON KEITH BELNAP DDS
Dentist (General Practice)
506 AIRPORT DR
FARMINGTON, NM 87401
San Juan County (505) 325-7700

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 Candice Clark's NPI number?

The NPI number for Candice Clark is 1124018379. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Candice Clark located?

Candice Clark practices at 506 Airport Dr, Farmington, NM 87401. The listed phone number is (505) 325-7700.

What is Candice Clark's specialty?

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

Is Candice Clark enrolled in Medicare?

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

What insurance does Candice Clark accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Candice 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 Candice Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.