John W. Clark PA
NPI 1275904435 · Customized Equipment (DME) · Bangor, ME
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John W. Clark PA is a Customized Equipment (DME) organization in Bangor, ME (NPI 1275904435).
Provider details
- NPI number
- 1275904435
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- John Clark, President(207) 564-8197
- License
- 3365 (ME)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-14
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Frequently asked questions
- What is John W. Clark PA's NPI number?
- John W. Clark PA's National Provider Identifier (NPI) is 1275904435, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John W. Clark PA?
- John W. Clark PA is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is John W. Clark PA located?
- John W. Clark PA's practice location on file with NPPES is 753 Stillwater Ave, Bangor, ME 04401-3633.
- What is John W. Clark PA's phone number?
- The practice phone number listed in the NPPES registry for John W. Clark PA is (207) 990-5887.
- Does John W. Clark PA accept Medicare?
- John W. Clark PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for John W. Clark PA?
- The authorized official listed on John W. Clark PA's NPPES record is John Clark, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John W. Clark PA's NPI active?
- Yes — John W. Clark PA's NPI (1275904435) is active in the NPPES registry as of the last update on 2025-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.