Garrett David Clause, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D13558 Issued in MN

Practice address

2040 Commerce Dr
North Mankato, MN 56003-1809

Phone

(507) 345-7786

Fax

(507) 345-3445

NPI assigned

Jun 17, 2015

Last updated

Jun 17, 2015By the provider in NPPES

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 MN

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

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.

• Commerce Drive Dental Group

  • General Practice Dentistry
  • North Mankato, MN
  • NPI 1447337803
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1205217072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031809",
            "telephone_number": "507-345-7786",
            "fax_number": "507-345-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 COMMERCE DR",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560031809",
            "telephone_number": "507-345-7786",
            "fax_number": "507-345-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSE",
        "first_name": "GARRETT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy W Caven, MS/CCC-SLP
• Center for Resilience Strategies LLC
• Natasha Choiniere, PT
• Christian Concern, Inc.
• David Wayne Clause, D.D.S.
• Commerce Drive Dental Group
• Continence Consulting
• County of Blue Earth Independent School District 77
• Amin Adam Daees
• Catalina Mercedes De la Cruz

• Dentist in North Mankato, MN
• Providers in North Mankato, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.