ANNE CAMPBELL CLARK DDS
NPI 1972289759
Dentist - Pediatric Dentistry in Indianapolis, IN

Q: What is Anne Clark's NPI number?

The NPI number for Anne Clark is 1972289759. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Anne Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anne Clark was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 26, 2023PECOS Enrolled

575 RILEY HOSPITAL DR SUITE 4205, INDIANAPOLIS, IN 46202(317) 944-9604 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Anne Campbell Clark Dds NPPES

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

ANNE CAMPBELL CLARK DDS (NPI 1972289759) is an individual pediatric dentistry provider in Indianapolis, Indiana, licensed in Indiana (1972289759) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972289759

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameANNE CAMPBELL CLARKCredential: DDS

Location Address575 RILEY HOSPITAL DR SUITE 4205Indianapolis, IN 46202

Mailing Address575 Riley Hospital Dr Suite 4205Indianapolis, IN 46202

Phone(317) 944-9604

Sole ProprietorNo

Enumeration DateJune 26, 2023

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1972289759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in IN · 1972289759

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.

575 RILEY HOSPITAL DR SUITE 4205, Indianapolis, IN 46202

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana, Guardian, HRI Dental & Vision 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)

Anne Campbell 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 46202 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.

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 Anne Clark's NPI number?

The NPI number for Anne Clark is 1972289759. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Anne Clark located?

Anne Clark practices at 575 Riley Hospital Dr Suite 4205, Indianapolis, IN 46202. The listed phone number is (317) 944-9604.

What is Anne Clark's specialty?

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

Is Anne Clark enrolled in Medicare?

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

What insurance does Anne Clark accept?

Health plans from Delta Dental of Indiana, Guardian, HRI Dental & Vision, Humana and Paramount and 1 other insurer list Anne 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 Anne Clark was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.