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KATHERINE CLARK DDS
NPI 1851918783
Dentist - Pediatric Dentistry in Indianapolis, IN

Active since June 26, 2020PECOS Enrolled
7830 ROCKVILLE RD STE A, INDIANAPOLIS, IN 46214(317) 271-9727 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2022, Jun 26, 2020 (2 updates tracked since 2020).

About Katherine Clark Dds NPPES

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

KATHERINE CLARK DDS (NPI 1851918783) is an individual pediatric dentistry provider in Indianapolis, Indiana, licensed in Indiana (12013414A) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1851918783
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameKATHERINE CLARKCredential: DDS
Location Address7830 ROCKVILLE RD STE AIndianapolis, IN 46214-3130
Mailing Address1325 E 82nd StIndianapolis, IN 46240-2350
Phone(317) 271-9727
Sole ProprietorNo
Enumeration DateJune 26, 2020
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1851918783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12013414A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7830 ROCKVILLE RD STE A, Indianapolis, IN 46214
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Secondary Practice Location 1

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 450-7884

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Katherine Clark Dds 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 46214 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

CLARK DENTAL GROUP
Dentist (General Practice)
7830 ROCKVILLE RD STE A
INDIANAPOLIS, IN 46214
Marion County (317) 273-2372

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 Katherine Clark's NPI number?

The NPI number for Katherine Clark is 1851918783. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Where is Katherine Clark located?

Katherine Clark practices at 7830 Rockville Rd Ste A, Indianapolis, IN 46214. The listed phone number is (317) 271-9727.

What is Katherine Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Katherine Clark enrolled in Medicare?

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

What insurance does Katherine Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 8 other insurers list Katherine 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 Katherine Clark was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.