DR. DAVID KYLE CLARK DDS
NPI 1548427693
Dentist - Oral and Maxillofacial Surgery in Shreveport, LA
About Dr. David Kyle Clark Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID KYLE CLARK DDS (NPI 1548427693) is an individual oral and maxillofacial surgery provider in Shreveport, Louisiana, licensed in Louisiana (6204) and active in the NPI registry since May 2008. He has opted out of Medicare through March 20, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted 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. David Kyle 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 March 20, 2018 through March 20, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71118
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 David Clark's NPI number?
The NPI number for David Clark is 1548427693. It was assigned to this individual provider in the NPPES registry on May 16, 2008.
Where is David Clark located?
David Clark practices at 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118. The listed phone number is (318) 687-9800.
What is David Clark's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is David Clark enrolled in Medicare?
No. David Clark has opted out of Medicare through March 20, 2028. 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 David Clark accept?
Health plans from Blue Cross and Blue Shield of Louisiana, Delta Dental and HMO Louisiana list David 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 David Clark was last updated on July 13, 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.
# Dr. David Kyle Clark, DDS · NPI 1548427693
Oral and Maxillofacial Surgery provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since May 16, 2008.
## Identity
- **NPI:** 1548427693 (Entity type: Individual)
- **Enumerated:** May 16, 2008
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 6204 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2120 BERT KOUNS LOOP STE D, Shreveport, LA 71118-3351
- **Phone:** (318) 687-9800
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 20, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1548427693) · Data from the CMS NPPES public registry.