NPIMap

Organization Active NPI

Clay Dental

  • Dentist
  • Foley, AL
National Provider Identifier
1043760622
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6083C Issued in AL
Legal business name
CLAY DENTAL
Practice address
7801 Highway 59
Suite F
Foley, AL 36535
Phone
(251) 943-5632
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Dr. Michael Bradley Clay, DMD
Title
President
Phone
(251) 943-5632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6083C AL Primary

Addresses

Primary practice location

7801 Highway 59
Suite F
Foley, AL 36535

Mailing address

7801 Highway 59
Suite F
Foley, AL 36535
Phone (251) 943-5632

Other names 1

  • Gulf Coast Dental Doing business as

National Provider Directory

National Provider Directory

Locations

7801 State Highway 59
Ste F
Foley, AL 36535
Phone (251) 943-5632

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1043760622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 HIGHWAY 59",
            "address_2": "SUITE F",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-943-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 HIGHWAY 59",
            "address_2": "SUITE F",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36535",
            "telephone_number": "251-943-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-943-5632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "6083C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.