Candice Ella Clark, DDS
NPI 1124018379ActiveIndividual· Dentist, General Practice· Farmington, NM
Dentist, General Practice (DDS) in Farmington, New Mexico, licensed in NM, with an NPI issued in October 2005. Part D covered 59 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1124018379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Oct 27, 2005 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DD2673 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Dentist (NM) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 59 · 59 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $158.12 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Farmington
- 1285252627
- 1154934818
- 1104377811
- 1255445706
- 1629596705
- 1093111270
- 1275654410
- 1659387090
- 1063989531
- 1528521374
- 1184047961
- 1669795456