TANNER CODY CLARK M.D. NPI 1689060139

NPI Information

  • NPI: 1689060139
  • Provider Name: TANNER CODY CLARK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 703 RIVERWAY PLACE
    BEDFORD, NH 03110, NH
    ZIP 03110
  • Phone: (603) 627-1661

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NPI Details

Tanner Cody Clark, M.D. is a diagnostic radiology radiology in Bedford, Nh 03110, NH with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Tanner Cody Clark, M.D. NPI is 1689060139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

703 RIVERWAY PLACE
BEDFORD, NH 03110, NH
ZIP 03110
Phone: (603) 627-1661
Fax: (603) 669-6944

The NPI 1689060139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)

The enumeration date for this NPI number is 4/11/2015 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD60961230WASHINGTONNo
22085R0202XRadiologyDiagnostic Radiology24268NEW HAMPSHIREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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