Chad Elliott Clement

Primary specialty

DentistTaxonomy code 122300000X

License

D8497 Issued in OR

Practice address

1256 Bay St
Florence, OR 97439-9648

Phone

(541) 997-3423

Fax

(541) 997-8749

NPI assigned

Mar 17, 2008

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

Other names 1

• Dr. Chad Elliott Clement Professional name

Medicare fee-for-service enrollment

Enrolled in OR

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chad E. Clement, DDS, PC

  • Dental Clinic/Center
  • Florence, OR
  • NPI 1639716475
  NPD (past) Authorized official

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1164693263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1487",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974390075",
            "telephone_number": "541-997-3423",
            "fax_number": "541-997-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 BAY ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399648",
            "telephone_number": "541-997-3423",
            "fax_number": "541-997-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "CHAD",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAD",
            "last_name": "CLEMENT",
            "middle_name": "ELLIOTT",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sharon F Catlin, D.O.
• Thomas Anthony Caton, M.D.
• Chad E. Clement, DDS, PC
• Charles W Korando, DDS, PC
• Eunlee Chung, DO, PHD
• Clinicops LLC
• Coastal Counseling, LLC
• Coastal Denture Clinic
• Coastal Fitness, Inc.
• Jason Collins

• Dentist in Florence, OR
• Providers in Florence, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.