Active NPI
Norman Jesse Clement Sr., DDS
- Dentist
- Detroit, MI
National Provider Identifier
1063675460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901013406
- Practice address
- 7481 West 7 Mile
Detroit, MI 48221 - Phone
- (313) 510-3378
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901013406 | MI | Primary |
Addresses
Primary practice location
7481 West 7 Mile
Detroit, MI 48221
Mailing address
20060 Santa Barbara Dr
Detroit, MI 48221-1278
Phone (313) 510-3378
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901013406 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215388800000",
"number": "1063675460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20060 SANTA BARBARA DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482211278",
"telephone_number": "313-510-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7481 WEST 7 MILE",
"city": "DETROIT",
"state": "MI",
"postal_code": "48221",
"telephone_number": "313-510-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENT",
"first_name": "NORMAN",
"middle_name": "JESSE",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2008-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901013406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.