DR. RYAN GREGORY CLARK D.M.D.
NPI 1528372133
Dentist in Martinsburg, WV

Q: What is Ryan Clark's NPI number?

The NPI number for Ryan Clark is 1528372133. It was assigned to this individual provider in the NPPES registry on August 6, 2010.

Q: What is Ryan 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 Ryan Clark was last updated on February 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 06, 2010PECOS Enrolled

58 WARM SPRINGS AVE, MARTINSBURG, WV 25404(304) 263-4999(304) 163-4999 Get Directions Write a Review

NPPES record last updated: February 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Ryan Gregory Clark D.m.d. NPPES

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

DR. RYAN GREGORY CLARK D.M.D. (NPI 1528372133) is an individual dentist in Martinsburg, West Virginia, licensed in Indiana (12011515A) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528372133

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. RYAN GREGORY CLARKCredential: D.M.D.

Location Address58 WARM SPRINGS AVEMartinsburg, WV 25404-3800

Mailing AddressPo Box 1146Martinsburg, WV 25402-1146 · (304) 263-4999 · Fax (304) 263-0984

Phone(304) 263-4999

Fax(304) 163-4999

Sole ProprietorNo

Enumeration DateAugust 6, 2010

Last NPPES UpdateFebruary 11, 2013

✔ NPI 1528372133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12011515A

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.

58 WARM SPRINGS AVE, Martinsburg, WV 25404

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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

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Gregory Clark D.m.d. 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 25404 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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 9

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

ZANE VIKTORIA COOPER RDH

Dental Hygienist