Bryan C. Clawson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4686 Issued in LA

Practice address

212 W Minnesota Park Rd
Hammond, LA 70403-6125

Phone

(985) 542-3368

Fax

(985) 542-3335

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• LA PPO C-SNP

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1083832406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W MINNESOTA PARK RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036125",
            "telephone_number": "985-542-3368",
            "fax_number": "985-542-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MINNESOTA PARK RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036125",
            "telephone_number": "985-542-3368",
            "fax_number": "985-542-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "BRYAN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1846864",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Clair
• Molly Clark, PH.D.
• Stephanie M. Clark, LAC
• Tayamka Clark, PLPC
• Bradley Clawson
• Clayton J. Charbonnet Jr,D.D.S.,a.P.O.
• Amanda Evangeline Cleland
• Shelbi Ann Cline
• Coastal Orthotics and Prosthetics LLC
• Bobbie-Jean Cobb, R.PH.

• General Practice Dentistry in Hammond, LA
• Providers in Hammond, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.