Dr John Nicholas Clark, DDS - Medicare Dentist in Conway, AR

Dr John Nicholas Clark, DDS is a medicare enrolled "Dentist" provider in Conway, Arkansas. His current practice location is 810 Locust St, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 466-3834.

Dr John Nicholas Clark is licensed to practice in Arkansas (license number 3810) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649401597.

Contact Information

Dr John Nicholas Clark, DDS
810 Locust St,
Conway, AR 72034-5331
(479) 466-3834
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr John Nicholas Clark
GenderMale
SpecialityDentist
Location810 Locust St, Conway, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649401597
  • Provider Enumeration Date: 07/27/2009
  • Last Update Date: 10/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5799006052
  • Enrollment ID: I20150611002444

Medical Identifiers

Medical identifiers for Dr John Nicholas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649401597NPI-NPPES
187121608MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 3810 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Nicholas Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Nicholas Clark, DDS
810 Locust St,
Conway, AR 72034-5331

Ph: (479) 466-3834
Dr John Nicholas Clark, DDS
810 Locust St,
Conway, AR 72034-5331

Ph: (479) 466-3834

Reviews and Comments


Dentist in Conway, AR

Alyssa Nicole Hadley, DDS
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Phone: 501-336-0300    
Dr. Gary Jones,
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Medicare: Medicare Enrolled
Practice Location: 810 Locust Ave, Conway, AR 72034
Phone: 501-932-0559    Fax: 501-205-1983
Dr. Alaa Mohammed Shahare, DDS
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Practice Location: 1125 S Amity Rd, Conway, AR 72032
Phone: 501-764-4465    
Dr. Jon C Vammen, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 1219 Front Street, Conway, AR 72032
Phone: 501-329-3312    Fax: 501-329-0576
David Barry Riggs,
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Medicare: Not Enrolled in Medicare
Practice Location: 800 Locust Ave, Conway, AR 72034
Phone: 501-697-1944    
Dr. John Gary Tumlison, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 810 Locust St, Conway, AR 72034
Phone: 501-327-4589    Fax: 501-327-2871
Varsha Patel,
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Medicare: Not Enrolled in Medicare
Practice Location: 130 Harkrider St, Conway, AR 72032
Phone: 870-329-9806    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.