KELLY R CLARKE DDS
NPI 1437132305
Dentist - General Practice in Spokane, WA
NPI Status: Active since November 23, 2005
Contact Information
2204 E 29TH AVE
STE. 208
SPOKANE, WA
ZIP 99203
Phone: (509) 535-9515
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
About KELLY CLARKE
This page provides the complete NPI Profile along with additional information for Kelly Clarke, a provider established in Spokane, Washington with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1437132305 assigned on November 2005. The practitioner's primary taxonomy code is 1223G0001X with license number DE00010199 (WA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1437132305
- Provider Name
- KELLY R CLARKE DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2204 E 29TH AVE STE. 208 SPOKANE, WA 99203
- Location Phone
- (509) 535-9515
- Mailing Address
- 2204 E 29TH AVE STE. 208 SPOKANE, WA 99203
- Mailing Phone
- (509) 535-9515
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-23-2005
- Last Update Date
- 07-18-2008
- Code Navigator
A dentist like Kelly Clarke is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- DE00010199
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | D8421 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
- Alabama Preferred Plan - PPO
- Alabama Preferred Plan (Pediatric Only) - PPO
- Alabama Preferred Plus Plan - PPO
- Alabama Preferred Plus Plan (Pediatric Only) - PPO
- Alabama Wellness Essentials Plan - PPO
- Florida Preferred Plan - PPO
- Florida Preferred Plan (Pediatric Only) - PPO
- Florida Preferred Plus Plan - PPO
- Florida Preferred Plus Plan (Pediatric Only) - PPO
- Florida Wellness Essentials Plan - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 233086 | MEDICAID (05) | OR |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 3 | 2 | 3 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 3 | 4 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 3 + 4 + 3 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1437132305 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609870070 | DR. W DALE CRUM D.D.S. Individual | Dentist (Oral and Maxillofacial Surgery) | 2204 E 29TH AVE STE 104 SPOKANE, WA 99203 (509) 928-8800 |
| 1942335112 | JOHN MICHAEL SCHRUTH MS,PT Individual | Physical Therapist | 2204 E 29TH AVE SUITE 202 SPOKANE, WA 99203 (509) 536-1761 |
| 1447474101 | CHARLES L REGALADO DDS,PS Individual | Dentist (General Practice) | 2204 E 29TH AVE SUITE 208 SPOKANE, WA 99203 (509) 595-9515 |
| 1982965976 | INLAND ORAL SURGERY P.S. Organization | Dentist (Oral and Maxillofacial Surgery) | 2204 E 29TH AVE SUITE 104 SPOKANE, WA 99203 (509) 321-1404 |
| 1992067607 | PAUL C FAWSON III DDS INC PS Organization | Dentist | 2204 E 29TH AVE STE 208 SPOKANE, WA 99203 (509) 535-9515 |
| 1245640606 | HARTWIG HEALTH PS Organization | Family Medicine | 2204 E 29TH AVE SUITE 202 SPOKANE, WA 99203 (509) 342-7777 |
| 1093977506 | DR. DAVID G. GAILEY DDS Individual | Oral & Maxillofacial Surgery | 2204 E 29TH AVE SUITE #104 SPOKANE, WA 99203 (509) 321-1404 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437132305, enumerated in the NPI registry as an "individual" on November 23, 2005
The provider is located at 2204 E 29th Ave Ste. 208 Spokane, Wa 99203 and the phone number is (509) 535-9515
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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