Tyler W Clayton, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8014 Issued in AZ

Practice address

12005 N Tatum Blvd
Phoenix, AZ 85028-1650

Phone

(302) 971-0026

NPI assigned

Jul 27, 2010

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

State licenses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1124332564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 E MAYBERRY AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978254",
            "telephone_number": "610-389-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12005 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281650",
            "telephone_number": "302-971-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "TYLER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "8014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Clayman, PT, MPT
• Melinda Rose Claypool, CNP
• Linda Elaine Clayton-Dhennin, RN, AGCNS-BC
• Alec Martin Clayton, DO
• Taylor Nicole Clayton
• Clean Colonic Family Practice
• Cleancatchpro LLC
• Cleanslate Medical Group of Arizona PLLC
• Cleanslate Medical Group of Arizona PLLC
• Cleanslate Medical Group of Arizona PLLC

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.