TAYLOR CLARK DDS
NPI 1336155571
Dentist in Kirtland, NM

Q: What is Taylor Clark's NPI number?

The NPI number for Taylor Clark is 1336155571. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Taylor Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Clark was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 31, 2006PECOS Enrolled

3 ROAD 6523, KIRTLAND, NM 87417(505) 598-6800 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Taylor Clark Dds NPPES

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

TAYLOR CLARK DDS (NPI 1336155571) is an individual dentist in Kirtland, New Mexico, licensed in Arizona (6577) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336155571

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTAYLOR CLARKCredential: DDS

Location Address3 ROAD 6523Kirtland, NM 87417-9452

Mailing Address3 Road 6523Kirtland, NM 87417-9452 · (505) 598-6800

Phone(505) 598-6800

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateAugust 9, 2011

✔ NPI 1336155571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in AZ · 6577✔ Licensed in NM · 3385

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3 ROAD 6523, Kirtland, NM 87417

Open in Google Maps ↗

Other Identifiers 1

Medicaid947963AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Taylor 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 87417 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

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

DR. SHAUN HENDERSON DMD

Dentist

3 ROAD 6523
KIRTLAND, NM 87417

San Juan County (505) 598-6800

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 Taylor Clark's NPI number?

The NPI number for Taylor Clark is 1336155571. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Taylor Clark located?

Taylor Clark practices at 3 Road 6523, Kirtland, NM 87417. The listed phone number is (505) 598-6800.

What is Taylor Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Taylor Clark enrolled in Medicare?

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

What insurance does Taylor Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Taylor 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 Taylor Clark was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.