Shane Clark, DMD
Shane Clark, DMD is a provider specialising in Endodontics in Albuquerque, NM, registered under NPI 1003220203.
Getting there
Here is what surrounds this office in Albuquerque, based on OpenStreetMap data collected Sep 12, 2026. Parking is available about 725 ft away. There is EV charging 552 ft from the office — useful if you are driving in from out of town. The nearest transit stop is 0.21 mi away, served by Coors NB @ Pheasant. A pharmacy sits 0.25 mi from the entrance (Walmart Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 886 ft away.
Getting here and what is nearby
Restaurant Panda Express 199 ft ~1 min
Restaurant Krispy Kreme 242 ft ~1 min
2760 Coors Boulevard Northwest, Albuquerque 87120
Restaurant IHOP 304 ft ~2 min
5221 Ouray Road Northwest, Albuquerque 87120-3030
Parking 351 ft ~2 min
Coffee Starbucks 430 ft ~2 min
5241 A Ouray Road Northwest, 87120
Gas station Valero 494 ft ~2 min
EV charging 552 ft ~3 min
Convenience Fast Market 527 ft ~2 min
2721 Coors Boulevard Northwest, Albuquerque 87120
Parking 576 ft ~3 min
Gas station Speedway 684 ft ~3 min
Convenience Speedway 729 ft ~3 min
Parking 725 ft ~3 min
Gas station Circle K 809 ft ~4 min
Convenience Circle K 863 ft ~4 min
5311 Quail Road Northwest, Albuquerque 87120
Coffee New Mexico Pinon Coffee 886 ft ~4 min
2781 57th Street Northwest, Albuquerque 87120
Transit Coors NB @ Pheasant 0.21 mi ~5 min
Pharmacy Walmart Pharmacy 0.25 mi ~5 min
Grocery Walmart Supercenter 0.25 mi ~6 min
2550 Coors Boulevard Northwest, Albuquerque 87120
Mo-Su 06:00-24:00
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DD4100 | NM | Endodontics primary |
This provider holds licence DD4100 issued in NM. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Dentist
- PAC ID
- 8921312935
- Enrollment ID
- I20150805006536
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Endodontics covers
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NUCC Health Care Provider Taxonomy, code 1223E0200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003220203 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 16, 2014 |
| Last updated | Sep 26, 2015 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | DMD |
| Practice address |
2800 COORS BLVD NW Albuquerque, NM 87120 (505) 352-1166 |
| Mailing address |
8400 OAKLAND AVE NE Albuquerque, NM 87122 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 2 | 0 | 2 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 2 | 0 | 2 | 0 |
Sum = 37 · next multiple of 10 = 40 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.