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DR. HATTA LAURA CLARK DDS
NPI 1972891240
Dentist in Coeur D Alene, ID

Active since July 20, 2011PECOS Enrolled
1090 W PARK PL, COEUR D ALENE, ID 83814(208) 292-0697(208) 292-0357 Get Directions Write a Review

NPPES record last updated: January 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Hatta Laura Clark Dds NPPES

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

DR. HATTA LAURA CLARK DDS (NPI 1972891240) is an individual dentist in Coeur D Alene, Idaho, licensed in Idaho (D-4621) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972891240
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HATTA LAURA CLARKCredential: DDS
Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785
Mailing Address1090 W Park PlCoeur D Alene, ID 83814-2785 · (208) 292-0697 · Fax (208) 292-0357
Phone(208) 292-0697
Fax(208) 292-0357
Sole ProprietorNo
Enumeration DateJuly 20, 2011
Last NPPES UpdateJanuary 17, 2015
✔ NPI 1972891240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D-4621
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.
1090 W PARK PL, Coeur D Alene, ID 83814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Hatta Laura 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 83814 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

DEBORAH MAGNUSON APRN
Nurse Practitioner (Pediatrics)
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 215-2005
SAMANTHA ANNE EASTERLY DO
Family Medicine
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5250
DIRNE HEALTH CENTERS, INC
Pharmacy
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 292-0662
AMANDA AMENT RDN
Dietitian, Registered
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 215-2005
MR. JEFFREY BENSON HARGRAVES PA-C
Physician Assistant
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5250
WHITNEY L JERRED
Nurse Practitioner (Primary Care)
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 620-5250
KIMBERLY ANN ASHMORE NP
Nurse Practitioner (Family)
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 215-2005
STEPHEN GENE PLOYHAR
Nurse Practitioner (Family)
1090 W PARK PL
COEUR D ALENE, ID 83814
Kootenai County (208) 415-0299

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 Hatta Clark's NPI number?

The NPI number for Hatta Clark is 1972891240. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Hatta Clark located?

Hatta Clark practices at 1090 W Park Pl, Coeur D Alene, ID 83814. The listed phone number is (208) 292-0697.

What is Hatta Clark's specialty?

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

Is Hatta Clark enrolled in Medicare?

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

What insurance does Hatta Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Hatta 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 Hatta Clark was last updated on January 17, 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.