DR. JEFFREY M CLARK D.D.S.
NPI 1588915854
Dentist - Endodontics in Cherry Point, NC
NPI Status: Active since September 27, 2012
Contact Information
MCAS CHERRY POINT
4389 BEAUFORT RD.
CHERRY POINT, NC
ZIP 28533
Phone: (252) 466-0418
- Individual
- Male
- Dentist
- Endodontics
- Opted-Out Medicare
About JEFFREY CLARK
This page provides the complete NPI Profile along with additional information for Jeffrey Clark, a provider established in Cherry Point, North Carolina with a medical specialization in Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1588915854 assigned on September 2012. The practitioner's primary taxonomy code is 1223E0200X with license number 12142 (NC). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1588915854
- Provider Name
- DR. JEFFREY M CLARK D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- MCAS CHERRY POINT 4389 BEAUFORT RD. CHERRY POINT, NC 28533
- Location Phone
- (252) 466-0418
- Mailing Address
- MCAS CHERRY POINT 4389 BEAUFORT RD. CHERRY POINT, NC 28533
- Mailing Phone
- (252) 466-0418
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2012
- Last Update Date
- 08-11-2023
- Code Navigator
A dentist like Jeffrey Clark is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jeffrey Clark opted out of Medicare effective on 07-06-2021 until 07-06-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- Naval Branch Health Clinic 4755 Pasture Rd., Bldg. 299
Fallon, NV 89496
(775) 426-3164
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- License No.
- 12142
- License State
- NC
- Taxonomy Description
- The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | 8360392-9921 (UT) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-06-2021
Opt-Out End Date: 07-06-2027
Eligible to Order and Refer? No
Reviews for DR. JEFFREY M CLARK D.D.S.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588915854, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588915854, enumerated as an "individual" on September 27, 2012.
The provider is located at MCAS CHERRY POINT 4389 BEAUFORT RD. CHERRY POINT, NC 28533 and the phone number is (252) 466-0418.
Dentist with taxonomy code 1223E0200X and a focus in Endodontics.
