DR. THOMAS JAGGERS CLARK DMD
NPI 1134236359
Dentist - General Practice in Crestwood, KY

Q: What is Thomas Clark's NPI number?

The NPI number for Thomas Clark is 1134236359. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Thomas Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since August 24, 2006PECOS Enrolled

5805 W HIGHWAY 22, CRESTWOOD, KY 40014(502) 241-7116(502) 241-2339 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Thomas Jaggers Clark Dmd NPPES

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

DR. THOMAS JAGGERS CLARK DMD (NPI 1134236359) is an individual general practice provider in Crestwood, Kentucky, licensed in Kentucky (4571) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134236359

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. THOMAS JAGGERS CLARKCredential: DMD

Location Address5805 W HIGHWAY 22Crestwood, KY 40014-7244

Mailing Address5805 W Highway 22Crestwood, KY 40014-7244 · (502) 241-7116 · Fax (502) 241-2339

Phone(502) 241-7116

Fax(502) 241-2339

Sole ProprietorNo

Enumeration DateAugust 24, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1134236359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in KY · 4571

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.

Also ListedDentistTaxonomy 122300000X · License 4571 (KY)

5805 W HIGHWAY 22, Crestwood, KY 40014

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Other Identifiers 1

Medicaid60045713KY

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. Thomas Jaggers Clark Dmd 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 40014 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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. ALAN R GOULD DDS, MS

Dentist (Oral and Maxillofacial Pathology)

5805 W HIGHWAY 22
CRESTWOOD, KY 40014

Oldham County (502) 241-7116

ALAN R GOULD DDS MS LLC

Dentist (Oral and Maxillofacial Pathology)

5805 W HIGHWAY 22
CRESTWOOD, KY 40014

Oldham County (502) 241-7116

JAMES MARCUS WENNINGER DMD

Dentist (General Practice)

5805 W HIGHWAY 22
CRESTWOOD, KY 40014

Oldham County (502) 241-9407

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 Thomas Clark's NPI number?

The NPI number for Thomas Clark is 1134236359. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Thomas Clark located?

Thomas Clark practices at 5805 W Highway 22, Crestwood, KY 40014. The listed phone number is (502) 241-7116.

What is Thomas Clark's specialty?

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

Is Thomas Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Clark was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.