SAMANTHA CLARE
NPI 1689104721
Dentist in Prescott, WI

Q: What is Samantha Clare's NPI number?

The NPI number for Samantha Clare is 1689104721. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Q: What is Samantha Clare'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 Samantha Clare was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 12, 2017PECOS Enrolled

1435 N ACRES RD STE 102, PRESCOTT, WI 54021(715) 953-0499 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2024, Jun 12, 2017 (2 updates tracked since 2017).

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About Samantha Clare NPPES

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

SAMANTHA CLARE (NPI 1689104721) is an individual dentist in Prescott, Wisconsin, licensed in Wisconsin (1001580) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689104721

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSAMANTHA CLARE

Location Address1435 N ACRES RD STE 102Prescott, WI 54021-7063

Mailing Address1435 N Acres Rd Ste 102Prescott, WI 54021-7063 · (715) 997-4990

Phone(715) 953-0499

Sole ProprietorNo

Enumeration DateJune 12, 2017

Last NPPES UpdateApril 2, 20242 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1689104721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 1001580

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.

1435 N ACRES RD STE 102, Prescott, WI 54021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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)

Samantha Clare 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 54021 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

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 Samantha Clare's NPI number?

The NPI number for Samantha Clare is 1689104721. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Where is Samantha Clare located?

Samantha Clare practices at 1435 N Acres Rd Ste 102, Prescott, WI 54021. The listed phone number is (715) 953-0499.

What is Samantha Clare's specialty?

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

Is Samantha Clare enrolled in Medicare?

Yes. Samantha Clare is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Clare accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Guardian and 2 other insurers list Samantha Clare 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 Samantha Clare was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.