Individual provider Active NPI

Clara Lucia Nunez Romero, DDS

  • General Practice Dentistry
  • Matthews, NC
National Provider Identifier
1073808259
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9221 Issued in NC
Practice address
10808 Monroe Rd
Matthews, NC 28105-7305
Phone
(704) 705-4744
NPI assigned
Jun 15, 2011
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9221 NC Primary

Addresses

Primary practice location

10808 Monroe Rd
Matthews, NC 28105-7305

Mailing address

10808 Monroe Rd
Matthews, NC 28105-7305
Phone (704) 705-4744

Other practice location 1

6721 W Cermak Rd
Berwyn, IL 60402
Phone (708) 749-0277

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

LicenseStateTypeSpecialty
9221NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a Osorio M.D.S.C. PastSince Feb 18, 2012 Accepting new patients
Claudia Osorio DDS PC General Practice Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1073808259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 MONROE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057305",
            "telephone_number": "704-705-4744",
            "fax_number": "704-973-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 MONROE RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057305",
            "telephone_number": "704-705-4744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6721 W Cermak Rd",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "60402",
            "country_code": "US",
            "telephone_number": "708-749-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ ROMERO",
        "first_name": "CLARA",
        "middle_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.