Active NPI
Sally Ann Keese Clark, D.D.S.
- Dentist
- Hot Springs, SD
National Provider Identifier
1124227335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7190
- Practice address
- 602 Jennings Ave
Hot Springs, SD 57747-1691 - Phone
- (605) 745-3975
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7190 | NE | Primary |
| General Practice Dentistry | 1223G0001X | D0630 | SD |
Addresses
Primary practice location
602 Jennings Ave
Hot Springs, SD 57747-1691
Mailing address
10740 S 98TH St
Lincoln, NE 68526-9463
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sally.Clark.p1@direct.bluestemlincoln.nextgenshare.com | Bluestem Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7190 | NE | MD | Dentist |
| D0630 | SD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Massa Dental Offices, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Hot Springs, SD
- NPI 1043394265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1124227335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 S 98TH ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 JENNINGS AVE",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "577471691",
"telephone_number": "605-745-3975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "SALLY",
"middle_name": "ANN KEESE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "7190",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SD",
"license": "D0630",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Sally.Clark.p1@direct.bluestemlincoln.nextgenshare.com",
"affiliation": "Y",
"affiliationName": "Bluestem Health",
"address_1": "1021 N 27th St",
"city": "Lincoln",
"state": "NE",
"country_code": "US",
"postal_code": "685031803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hot Springs, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.