DR. RYAN JAMES CLARK D.D.S.
NPI 1356639892
Dentist - General Practice in Boise, ID

Q: What is Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1356639892. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Ryan 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 Ryan Clark was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 19, 2011

580 W PARKCENTER BLVD STE B, BOISE, ID 83706(208) 336-8478(208) 342-2703 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Ryan James Clark D.d.s. NPPES

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

DR. RYAN JAMES CLARK D.D.S. (NPI 1356639892) is an individual general practice provider in Boise, Idaho, licensed in Idaho (4375) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1356639892

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RYAN JAMES CLARKCredential: D.D.S.

Location Address580 W PARKCENTER BLVD STE BBoise, ID 83706

Mailing Address580 W Parkcenter Blvd Ste BBoise, ID 83706 · (208) 336-8478 · Fax (208) 342-2703

Phone(208) 336-8478

Fax(208) 342-2703

Sole ProprietorYes

Enumeration DateJuly 19, 2011

✔ NPI 1356639892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ID · 4375

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.

580 W PARKCENTER BLVD STE B, Boise, ID 83706

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1356639892. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Ryan Clark located?

Ryan Clark practices at 580 W Parkcenter Blvd Ste B, Boise, ID 83706. The listed phone number is (208) 336-8478.

What is Ryan Clark's specialty?

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

What insurance does Ryan Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 2 other insurers list Ryan 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 Ryan Clark was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.