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DR. DANIEL DEE CLARK D.D.S.
NPI 1730422106
Dentist - General Practice in Farmington, NM

Active since April 03, 2013PECOS Enrolled
1001 W BROADWAY, SUITE D AND E, FARMINGTON, NM 87401(505) 325-9133 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Daniel Dee Clark D.d.s. NPPES

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

DR. DANIEL DEE CLARK D.D.S. (NPI 1730422106) is an individual general practice provider in Farmington, New Mexico, licensed in New Mexico (DD3904) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730422106
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DANIEL DEE CLARKCredential: D.D.S.
Location Address1001 W BROADWAY, SUITE D AND EFarmington, NM 87401-5638
Mailing Address4104 N Buena Vista AveFarmington, NM 87401-2374 · (214) 793-7256
Phone(505) 325-9133
Sole ProprietorNo
Enumeration DateApril 3, 2013
Last NPPES UpdateFebruary 25, 2015
✔ NPI 1730422106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD3904
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1001 W BROADWAY, Farmington, NM 87401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter 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. Daniel Dee 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 87401 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 20

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

ANARIZA GRUSH
Nurse Practitioner
1001 W BROADWAY
FARMINGTON, NM 87401
San Juan County (505) 327-4796
PRESBYTERIAN MEDICAL SERVICES
Dental Hygienist
1001 W BROADWAY
FARMINGTON, NM 87401
San Juan County (505) 325-9133
BETHANY LYNN JONES AGPNP
Nurse Practitioner (Gerontology)
1001 W BROADWAY
FARMINGTON, NM 87401
San Juan County (505) 327-4796
PRESBYTERIAN MEDICAL SERVICES
Clinic/Center
1001 W BROADWAY
FARMINGTON, NM 87401
San Juan County (505) 327-4796
DAPHNIE CUMMINS LADAC
Counselor (Addiction (Substance Use Disorder))
1001 W BROADWAY
FARMINGTON, NM 87401
San Juan County (505) 326-9157
ALEXANDRIA BEGAY
Counselor (Mental Health)
1001 W BROADWAY, SUITE D
FARMINGTON, NM 87401
San Juan County (505) 326-2695
ELIJAH COLE BENALLYSON PSR AIDE
Behavior Analyst
1001 W BROADWAY
FARMINGTON, NM 87401
San Juan County (505) 634-6999
ANDREEA FELEA LPCC
Counselor (Professional)
1001 W BROADWAY, D & E
FARMINGTON, NM 87401
San Juan County (505) 327-4796

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 Daniel Clark's NPI number?

The NPI number for Daniel Clark is 1730422106. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Daniel Clark located?

Daniel Clark practices at 1001 W Broadway Suite D And E, Farmington, NM 87401. The listed phone number is (505) 325-9133.

What is Daniel Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Daniel Clark enrolled in Medicare?

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

What insurance does Daniel Clark accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Daniel 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 Daniel Clark was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.