Charles T. Clemens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008242 Issued in VA

Practice address

490 S Main St
Suite 201
Rocky Mount, VA 24151-1762

Phone

(540) 483-5241

Fax

(540) 484-1121

NPI assigned

May 1, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Franklin Dental Associate

  • General Practice Dentistry
  • Rocky Mount, VA
  • NPI 1619143450
  NPD (past) Authorized official

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1134395031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S MAIN STREET",
            "address_2": "SUITE 201",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511749",
            "telephone_number": "540-483-5241",
            "fax_number": "540-484-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511762",
            "telephone_number": "540-483-5241",
            "fax_number": "540-484-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "CHARLES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214673",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine E Barrett & Heathcliff Quioco PTR
• Christine E Barrett MD
• Elizabeth Christman, PA-C
• Claytor Clinic, Inc. (Claytor Memorial Clinic)
• Claytor Memorial Clinic
• John Larry Clements, D.P.M.
• Kayla Nichole Clendenin, SLP
• Maggie Anne Colicchio
• Commonwealth of Virginia State Board of Health (Franklin County Health Department)
• Kathleen Conway

• General Practice Dentistry in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• General Practice Dentistry in Virginia

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

Verify at the official NPI Registry.