Active NPI
Cailin Cleary
- Pediatric Dentistry
- Richmond, VA
National Provider Identifier
1043007305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- NA
- Practice address
- 6900 Forest Ave Ste 110
Richmond, VA 23230-1730 - Phone
- (804) 893-8715
- NPI assigned
- Apr 21, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | NA | NY | Primary |
Addresses
Primary practice location
6900 Forest Ave Ste 110
Richmond, VA 23230-1730
Mailing address
254 N Elm St
Massapequa, NY 11758-2523
Phone (516) 984-4820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1043007305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 N ELM ST",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582523",
"telephone_number": "516-984-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 FOREST AVE STE 110",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301730",
"telephone_number": "804-893-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "CAILIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
- Clearr Vission Support Services Inc
- Clearr Vission Support Services, Inc (Clearr Vission Residential Services)
- Clearr Vissions Support Services, Inc,
- Clearview Counseling Services, Inc
- Clearwater Counseling & Wellness Services, LLC (Heather Kay)
- Ryan Troy Cleary, MD
- Amanda Clem, OTR/L
- Daviece Nickee Clement, HAIR LOSS SPECIALIST
- Stephen Clement, MD
- Coburn Shell Clements
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.