1. Home
  2. Directory
  3. Minnesota
  4. Becker
  5. Dentist
  6. NPI Profile

DR. TIMOTHY PAUL CLARK DDS
NPI 1194800946
Dentist - General Practice in Becker, MN

Active since October 26, 2006PECOS Enrolled
12392 PLEASANT AVE., BECKER, MN 55308(763) 261-5350(763) 262-5351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Paul Clark Dds NPPES

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

DR. TIMOTHY PAUL CLARK DDS (NPI 1194800946) is an individual general practice provider in Becker, Minnesota, licensed in Minnesota (10140) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194800946
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TIMOTHY PAUL CLARKCredential: DDS
Location Address12392 PLEASANT AVE.Becker, MN 55308-0098
Mailing AddressPo Box 98, 12392 Pleasant Ave.Becker, MN 55308-0098 · (763) 261-5350 · Fax (763) 262-5351
Phone(763) 261-5350
Fax(763) 262-5351
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194800946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 10140
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.
12392 PLEASANT AVE., Becker, MN 55308
Open in Google Maps ↗

Other Identifiers 1

Other6B403CLMN · Bcbs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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. Timothy Paul 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 55308 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1194800946. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Timothy Clark located?

Timothy Clark practices at 12392 Pleasant Ave., Becker, MN 55308. The listed phone number is (763) 261-5350.

What is Timothy Clark's specialty?

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

Is Timothy Clark enrolled in Medicare?

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

What insurance does Timothy Clark accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Timothy 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 Timothy Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.