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DR. JEV CLARK
NPI 1558622936
Dentist - Oral and Maxillofacial Surgery in Salem, OR

Active since June 01, 2012PECOS Enrolled
2266 MISSION ST SE, SALEM, OR 97302(503) 375-2000 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2021, Apr 19, 2018, Oct 26, 2016 (3 updates tracked since 2016).

About Dr. Jev Clark NPPES

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

DR. JEV CLARK (NPI 1558622936) is an individual oral and maxillofacial surgery provider in Salem, Oregon, licensed in Oregon (D10561) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558622936
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JEV CLARK
Location Address2266 MISSION ST SESalem, OR 97302-1267
Mailing Address2266 Mission St SeSalem, OR 97302-1267
Phone(503) 375-2000
Sole ProprietorYes
Enumeration DateJune 1, 2012
Last NPPES UpdateOctober 18, 20213 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1558622936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OR · D10561
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2266 MISSION ST SE, Salem, OR 97302
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11040 24th Ave SWAlbany, OR 97321-7539 · Phone (541) 924-9000
Location 22125 NW Professional DrCorvallis, OR 97330-3886 · Phone (541) 757-1566

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, 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. Jev Clark 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 97302 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 4

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

DR. JOEL KENNETH HOPKIN DMD MD
Oral & Maxillofacial Surgery
2266 MISSION ST SE
SALEM, OR 97302
Marion County (503) 375-2000
DR. DAVID WESLEY HOWERTON DMD
Dentist (Oral and Maxillofacial Surgery)
2266 MISSION ST SE
SALEM, OR 97302
Marion County (503) 375-2000
DEMETRI ISAAC HOWERTON DMD, MD
Dentist (Oral and Maxillofacial Surgery)
2266 MISSION ST SE
SALEM, OR 97302
Marion County (503) 375-2000
HHHKC DENTAL LLC
Dentist (Oral and Maxillofacial Surgery)
2266 MISSION ST SE
SALEM, OR 97302
Marion County (503) 375-2000

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 Jev Clark's NPI number?

The NPI number for Jev Clark is 1558622936. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Jev Clark located?

Jev Clark practices at 2266 Mission St SE, Salem, OR 97302. The listed phone number is (503) 375-2000.

What is Jev Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jev Clark enrolled in Medicare?

Yes. Jev Clark is registered in the Medicare PECOS enrollment system.

What insurance does Jev Clark accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental Plan of Oregon and 6 other insurers list Jev 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 Jev Clark was last updated on October 18, 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.