Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164193223 Individual Practitioner Male Practitioner

Dr. Clark Kami , DMD

Dentist - General Practice • Antioch, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Clark Kami, DMD is a registered healthcare professional specializing in Dentist - General Practice in Antioch, CA. Official NPI practice address is registered at 2642 SOMERSVILLE RD # B.

Practice Location & Contact Primary Location

Practice Address

2642 Somersville Rd # B

Antioch, CA 945094428

Telephone 9257784600
Fax 9257788705
Associated Practice Facility / Clinic
🏢 Somersville Dental Facility NPI 1801237912

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Antioch, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Antioch, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 107018

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

1811 University Ave

Berkeley, CA 947031515

Phone: 5108451396

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. David Leong , DMD

Dentist - General Practice

NPI 1801015813

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 10, 2022

Registered at 2642 SOMERSVILLE RD # B, ANTIOCH, CA 945094428 (Tel: 9257784600)

📍
Updated Business Mailing Address August 10, 2022

Registered at 2642 SOMERSVILLE RD # B, ANTIOCH, CA 945094428 (Tel: 9257784600)

NPI Profile Active September 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2021

Registered at 1811 UNIVERSITY AVE, BERKELEY, CA 947031515 (Tel: 5108451396)

📍
Updated Business Mailing Address September 27, 2021

Registered at 1811 UNIVERSITY AVE, BERKELEY, CA 947031515 (Tel: 5108451396)

👤
Provider Name / Credentials Updated September 27, 2021

Recorded as CLARK KAMI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Dentist (License #107018 in CA)

🟢
Initial NPI Registration & Enumeration September 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164193223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2021
Last Update: August 10, 2022
Sole Proprietor: Yes

Mailing Address

2642 Somersville Rd # B

Antioch, CA 945094428

Phone: 9257784600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.