Chad Michael Clark, DDS, MS, BS
NPI 1952050924ActiveIndividual· Dentist· Riverton, WY
Dentist (DDS, MS, BS) in Riverton, Wyoming, licensed in WY, with an NPI issued in March 2022. Part D covered 27 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1952050924 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS, MS, BS |
| Sole proprietor | Yes |
| NPI issued | Mar 18, 2022 |
| Last updated in NPPES | Nov 11, 2023 |
| Certified by provider | Nov 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 1606 | WY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 27 · 27 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $104.55 |
| 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
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