Individual provider Active NPI

Michael J Claymore, DDS

  • General Practice Dentistry
  • Pinehusrt, ID
National Provider Identifier
1144372475
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1817 Issued in ID
Practice address
8 N Division Street
Pinehusrt, ID 83850-0609
Phone
(208) 682-4540
Fax
(208) 682-2339
NPI assigned
Jan 17, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 D1817 ID Primary

Addresses

Primary practice location

8 N Division Street
Pinehusrt, ID 83850-0609

Mailing address

PO Box 609
Pinehurst, ID 83850-0609
Phone (208) 682-4540

Other identifiers 1

IdentifierTypeStateIssuer
D1817OtherIDIDAHO DENTAL ID

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
D1817IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Claymore DDS Past Accepting new patients
Bird Family Dental, PLLC Past Accepting new patients

Organizations & group practices 2

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144372475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "PINEHURST",
            "state": "ID",
            "postal_code": "838500609",
            "telephone_number": "208-682-4540",
            "fax_number": "208-682-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N DIVISION STREET",
            "city": "PINEHUSRT",
            "state": "ID",
            "postal_code": "838500609",
            "telephone_number": "208-682-4540",
            "fax_number": "208-682-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYMORE",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO DENTAL ID",
            "identifier": "D1817",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehusrt, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.