Thomas Michael Clements, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57350 Issued in CA

Practice address

7916 Pebble Beach Dr
Ste. 101
Citrus Heights, CA 95610-7790

Phone

(916) 962-0577

Fax

(916) 962-0584

NPI assigned

Nov 10, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Thomas M. Clements, DDS, Inc.

  • Dental Clinic/Center
  • Cool, CA
  • NPI 1770167272
  NPD Authorized official
• Weideman Professional Dental Corporation

  • Pediatric Dentistry
  • Citrus Heights, CA
  • NPI 1578575023
  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1174777650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR",
            "address_2": "STE. 101",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-962-0577",
            "fax_number": "916-962-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 PEBBLE BEACH DR",
            "address_2": "STE. 101",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107790",
            "telephone_number": "916-962-0577",
            "fax_number": "916-962-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Morgan Clark Smith
• Angelia Clark
• Chane Clark
• Cierra Clark
• Grace Marie Claydon
• Joel Clifton Jr.
• Gary P Clusserath, DMD
• Autumn Rae Co
• Katie May Coburn
• Timothy Marchant Cocker, D.C.

• General Practice Dentistry in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.