Zane Matthew Clark-Gold, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

R812 Issued in MN

Practice address

11601 Minnetonka Mills Rd Ste F40
Hopkins, MN 55305-5189

Phone

(952) 935-8420

NPI assigned

Aug 31, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Facial Designs, P.a.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Minnetonka, MN
  • NPI 1982371456

  Prosthodontics

  NPD
• Affiliated Oral and Maxillofacial Surgeons P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Excelsior, MN
  • NPI 1366676553

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1699443192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 4TH ST SE UNIT 128",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143883",
            "telephone_number": "253-302-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 MINNETONKA MILLS RD STE F40",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553055189",
            "telephone_number": "952-935-8420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 2nd St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Excelsior",
            "state": "MN",
            "postal_code": "553312607",
            "country_code": "US",
            "telephone_number": "952-474-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK-GOLD",
        "first_name": "ZANE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MN",
            "license": "R812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Cleereman, OTR/L
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• Hilary Rose Comstock

• Prosthodontics in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Prosthodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.