Roger D. Clay, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15948 Issued in FL

Legal business name

ROGER D. CLAY, D.D.S., P.A.

Practice address

1515 Indian River Blvd Ste A140
Vero Beach, FL 32960-7106

Phone

(772) 770-2225

NPI assigned

Oct 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger Dean Clay, D.D.S.NPI 1477650034

Title

President

Phone

(772) 770-2225

Specialties & licenses 1

Addresses

Other names 1

• Vero Beach Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Dean Clay, DDS

  • General Practice Dentistry
  • Vero Beach, FL
  • NPI 1477650034
  NPD (past) Authorized official
• Morgan Elizabeth Clay, DMD

  • Dentist
  • Vero Beach, FL
  • NPI 1164952792
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1205919719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 INDIAN RIVER BLVD STE A140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607106",
            "telephone_number": "772-770-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 INDIAN RIVER BLVD STE A140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607106",
            "telephone_number": "772-770-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER D. CLAY, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-770-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vero Beach Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristina Rodriguez, MSPT
• Jose Anibal Rodriguez II
• Nicole Rodriguez
• Orlando Rodriguez, CAA
• Jessica Lynn Rogalny, APRN
• Emma Rogers
• Jenna Rogers
• Jennifer Rogers, APRN, PMHNP-BC
• Monica Lynn Roland
• Rolando a Mendoza, M.D., P.a.

• General Practice Dentistry in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.