DR. JOHN NICHOLAS CLARK D.D.S.
NPI 1649401597
Dentist in Conway, AR

Active since July 27, 2009PECOS Enrolled
810 LOCUST ST, CONWAY, AR 72034(479) 466-3834 Get Directions Write a Review

NPPES record last updated: October 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Nicholas Clark D.d.s. NPPES

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

DR. JOHN NICHOLAS CLARK D.D.S. (NPI 1649401597) is an individual dentist in Conway, Arkansas, licensed in Arkansas (3810) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649401597
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN NICHOLAS CLARKCredential: D.D.S.
Location Address810 LOCUST STConway, AR 72034-5331
Mailing Address810 Locust StConway, AR 72034-5331 · (479) 466-3834
Sole ProprietorNo
Enumeration DateJuly 27, 2009
Last NPPES UpdateOctober 1, 2012
NPI 1649401597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AR · 3810
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.

810 LOCUST ST, Conway, AR 72034

Other Identifiers 1

Medicaid187121608AR

Accepted 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. John Nicholas Clark D.d.s. 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 72034 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 2

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

Dentist (General Practice)
810 LOCUST ST
CONWAY, AR 72034
Dentist (General Practice)
810 LOCUST ST
CONWAY, AR 72034

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 John Clark's NPI number?

The NPI number for John Clark is 1649401597. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is John Clark located?

John Clark practices at 810 Locust St, Conway, AR 72034. The listed phone number is (479) 466-3834.

What is John Clark's specialty?

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

Is John Clark enrolled in Medicare?

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

What insurance does John Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list John 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 John Clark was last updated on October 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.