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DR. MARTIN JAMES CLARK DDS
NPI 1447256367
Oral & Maxillofacial Surgery in The Woodlands, TX

Active since June 24, 2005Opted out of Medicare · through Jun 18, 2027
4185 TECHNOLOGY FOREST BLVD, SUITE 100, THE WOODLANDS, TX 77381(281) 296-9562(281) 296-9774 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Martin James Clark Dds NPPES

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

DR. MARTIN JAMES CLARK DDS (NPI 1447256367) is an individual oral & maxillofacial surgery provider in The Woodlands, Texas, licensed in Texas (10468) and active in the NPI registry since June 2005. He has opted out of Medicare through June 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447256367
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MARTIN JAMES CLARKCredential: DDS
Location Address4185 TECHNOLOGY FOREST BLVD, SUITE 100The Woodlands, TX 77381-2006
Mailing Address4185 Technology Forest Blvd, Suite 120The Woodlands, TX 77381-2006 · (281) 296-9562 · Fax (281) 296-9774
Phone(281) 296-9562
Fax(281) 296-9774
Sole ProprietorNo
Enumeration DateJune 24, 2005
Last NPPES UpdateDecember 18, 2015
✔ NPI 1447256367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · 10468
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 10468 (TX)
4185 TECHNOLOGY FOREST BLVD, The Woodlands, TX 77381
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Martin James Clark Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2013 through June 18, 2027.

Opt-Out Effective DateJune 18, 2013
Opt-Out In Effect ThroughJune 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

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

NORTHWEST IMAGING CENTER, LTD.
Dentist (Oral and Maxillofacial Surgery)
4185 TECHNOLOGY FOREST BLVD, SUITE 100
THE WOODLANDS, TX 77381
Montgomery County (281) 296-9532
TEXAS JAW & JOINT PLLC
Dentist (Oral and Maxillofacial Surgery)
4185 TECHNOLOGY FOREST BLVD, SUITE 100
THE WOODLANDS, TX 77381
Montgomery County (713) 566-0806
SUGENE KIM MD, PA
Plastic Surgery
4185 TECHNOLOGY FOREST BLVD, SUITE 150
THE WOODLANDS, TX 77381
Montgomery County (281) 363-4546
DR. BRIAN MICHAEL UNTERMAN D.D.S., M.D.
Oral & Maxillofacial Surgery
4185 TECHNOLOGY FOREST BLVD, SUITE 100
THE WOODLANDS, TX 77381
Montgomery County (281) 296-9562
RANDY A. BIRKEN, M.D.,P.A.
Obstetrics & Gynecology (Gynecology)
4185 TECHNOLOGY FOREST BLVD, SUITE 190
THE WOODLANDS, TX 77381
Montgomery County (281) 893-1246
DR. RANDOLF A BIRKEN MD
Obstetrics & Gynecology (Gynecology)
4185 TECHNOLOGY FOREST BLVD, SUITE 190
THE WOODLANDS, TX 77381
Montgomery County (281) 893-1246
NORTHWEST ORAL & MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
4185 TECHNOLOGY FOREST BLVD, SUITE 100
THE WOODLANDS, TX 77381
Montgomery County (281) 296-9562

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 Martin Clark's NPI number?

The NPI number for Martin Clark is 1447256367. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Martin Clark located?

Martin Clark practices at 4185 Technology Forest Blvd Suite 100, The Woodlands, TX 77381. The listed phone number is (281) 296-9562.

What is Martin Clark's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Martin Clark enrolled in Medicare?

No. Martin Clark has opted out of Medicare through June 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Martin 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 Martin 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 Martin Clark was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.