Kellan Clark
Dentist · West Valley City, UT
Kellan Clark is a dentist with a practice address in West Valley City, Utah, and NPI 1366050296, issued on Jul 16, 2020. Check the license (Utah 11782184-9922, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kellan Clark
- Primary taxonomy
- Dentist 122300000X
- License number
- 11782184-9922 UT
Self-reported in NPPES; status is on the state search - Practice location
- 2792 S 5600 W, West Valley City, UT 84120
- Phone
- (801) 204-9889
- Enumerated
- Jul 16, 2020
- Record last updated
- Jul 16, 2020 (not updated in 6 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest dentist records → All 721 in Utah → Look up another NPI →
Also registered at 2792 S 5600 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samuel Meeks, D.M.D.Dentist1891924692
Verify Kellan Clark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 11782184-9922Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
23% fewer Medicare Part D claims than the average dentist in 2024
66 Medicare Part D claims for 45 beneficiaries, against an average of 86 among the 51,021 providers of this specialty who prescribed in Part D.
Most prescribed
- Amoxicillin32 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $14.23
1 payment: food and beverage; the largest payer was Colgate Oral Pharmaceuticals, Inc. The 31,974 providers of this specialty with any payment received $540.36 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kellan Clark among 721 dentist records in Utah
Kellan Clark is one of 721 dentist records with a practice address in Utah. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 79% of them.
- NPI issued2020 · 79% of these records are older, 18% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2020 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
13 dentist records list a practice address in West Valley City
They are 13 of the 773 NPPES records with a practice address in West Valley City, and 721 dentist records in Utah.
All 721 in Utah → Every provider in West Valley City → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Brent Baugh, D.D.S.West Valley City, UT 841201619023066
- Thomas BroadbentWest Valley City, UT 841201063568426
- Jae Eun Cho, DMDWest Valley, UT 841201881387066
- Reed Dana, DDSWest Valley City, UT 841201306001839
- Christopher DemilleWest Valley City, UT 841201952506636
- Jay Gray, DDSWest Valley, UT 841201053002329
- Timothy HansenWest Valley City, UT 841201245969054
- David Mackay, DMDWest Valley City, UT 841201023213287
Common questions
What is Kellan Clark's NPI number?
Kellan Clark's National Provider Identifier (NPI) is 1366050296, issued on Jul 16, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Kellan Clark located?
The NPPES record lists a practice address at 2792 S 5600 W, West Valley City, UT, 84120. Phone: (801) 204-9889. Providers update this record themselves, so call before visiting.
How can I verify Kellan Clark's license?
NPPES lists Utah license number 11782184-9922, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
How much does Kellan Clark prescribe under Medicare Part D?
In 2024, Kellan Clark had 66 Medicare Part D claims for 45 beneficiaries; the average among dentist prescribers was 86. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.