Clayton Glen Spencer, CLAYTON SPENCER DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

23262 Issued in TX

Practice address

707 Lamar Ave
Suite L
Paris, TX 75460-4492

Phone

(903) 739-2288

Fax

(903) 739-2044

NPI assigned

Nov 1, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1114106655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 LAMAR AVE",
            "address_2": "SUITE L",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604492",
            "telephone_number": "903-739-2288",
            "fax_number": "903-739-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAMAR AVE",
            "address_2": "SUITE L",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754604492",
            "telephone_number": "903-739-2288",
            "fax_number": "903-739-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CLAYTON",
        "middle_name": "GLEN",
        "credential": "CLAYTON SPENCER DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Clifford Spann
• Lloyd Wade Sparks, RPH
• Dylan Allen Spears, AUD
• Special Health Resources for Texas, Incorporated (Paris Clinic)
• Special Health Resources for Texas, Incorporated (Pediatric Clinic of Paris)
• James Clint Spencer, D.D.S.
• James E. Spencer, D.D.S.
• Deborah M Stafford, LVN
• Kaley Brooke Standlee
• Tammy Lee Stankus, O.T.R.

• Orthodontics and Dentofacial Orthopedics Dentistry in Paris, TX
• Providers in Paris, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.