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DR. JEFFREY MICHAEL CLARK DMD
NPI 1891989158
Dentist - Endodontics in Albuquerque, NM

Active since August 30, 2007Opted out of Medicare · through Oct 30, 2026
10429 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111(505) 297-8630 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2017, Jun 17, 2016 (2 updates tracked since 2016).

About Dr. Jeffrey Michael Clark Dmd NPPES

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

DR. JEFFREY MICHAEL CLARK DMD (NPI 1891989158) is an individual endodontics provider in Albuquerque, New Mexico, licensed in New Mexico (DD4484) and active in the NPI registry since August 2007. He has opted out of Medicare through October 30, 2026.

NPPES Registry Identity

NPI1891989158
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JEFFREY MICHAEL CLARKCredential: DMD
Location Address10429 LAGRIMA DE ORO RD NEAlbuquerque, NM 87111
Mailing Address10429 Lagrima De Oro Rd NeAlbuquerque, NM 87111 · (505) 291-8630
Phone(505) 297-8630
Sole ProprietorNo
Enumeration DateAugust 30, 2007
Last NPPES UpdateFebruary 21, 20172 updates tracked since enumeration
✔ NPI 1891989158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NM · DD4484
Definition
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.
10429 LAGRIMA DE ORO RD NE, Albuquerque, NM 87111
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Accepted Insurance

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

ⓘ

Opted out of Medicare

Dr. Jeffrey Michael Clark Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 30, 2018 through October 30, 2026.

Opt-Out Effective DateOctober 30, 2018
Opt-Out In Effect ThroughOctober 30, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87111 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

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

DR. DAVID LLOYD HADLEY DDS
Dentist (Endodontics)
10429 LAGRIMA DE ORO RD NE
ALBUQUERQUE, NM 87111
Bernalillo County (505) 291-8630

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 Jeffrey Clark's NPI number?

The NPI number for Jeffrey Clark is 1891989158. It was assigned to this individual provider in the NPPES registry on August 30, 2007.

Where is Jeffrey Clark located?

Jeffrey Clark practices at 10429 Lagrima De Oro Rd NE, Albuquerque, NM 87111. The listed phone number is (505) 297-8630.

What is Jeffrey Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jeffrey Clark enrolled in Medicare?

No. Jeffrey Clark has opted out of Medicare through October 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jeffrey Clark accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jeffrey 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 Jeffrey Clark was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.