DR. JAMES N CLARK DDS
NPI 1508109570
Dentist in Bakersfield, CA

Active since March 28, 2013Opted out of Medicare · through Sep 5, 2027
1805 28TH ST, BAKERSFIELD, CA 93301(661) 325-5751 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James N Clark Dds NPPES

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

DR. JAMES N CLARK DDS (NPI 1508109570) is an individual dentist in Bakersfield, California, licensed in California (30599) and active in the NPI registry since March 2013. He has opted out of Medicare through September 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508109570
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JAMES N CLARKCredential: DDS
Location Address1805 28TH STBakersfield, CA 93301-1903
Mailing Address1805 28th StBakersfield, CA 93301-1903 · (661) 325-5751
Sole ProprietorYes
Enumeration DateMarch 28, 2013
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1508109570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 30599
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.
1805 28TH ST, Bakersfield, CA 93301

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. James N 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 September 5, 2019 through September 5, 2027.

Opt-Out Effective DateSeptember 5, 2019
Opt-Out In Effect ThroughSeptember 5, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93301 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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.

Dentist (Periodontics)
1805 28TH ST
BAKERSFIELD, CA 93301
Dentist (General Practice)
1805 28TH ST
BAKERSFIELD, CA 93301
Dentist (General Practice)
1805 28TH ST
BAKERSFIELD, CA 93301

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 James Clark's NPI number?

The NPI number for James Clark is 1508109570. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is James Clark located?

James Clark practices at 1805 28th St, Bakersfield, CA 93301. The listed phone number is (661) 325-5751.

What is James Clark's specialty?

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

Is James Clark enrolled in Medicare?

No. James Clark has opted out of Medicare through September 5, 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.

When was this NPI record last updated?

The NPPES record for James Clark was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.