Individual provider Active NPI

Claire Lorraine Clarke, DDS

  • General Practice Dentistry
  • North Potomac, MD
National Provider Identifier
1215067897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13587 Issued in MD
Practice address
11904 Darnestown Rd
Suite a
North Potomac, MD 20878-3202
Phone
(301) 947-2660
Fax
(301) 947-2746
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13587 MD Primary
General Practice Dentistry 1223G0001X DEN3291 DC

Addresses

Primary practice location

11904 Darnestown Rd
Suite a
North Potomac, MD 20878-3202

Mailing address

11904 Darnestown Rd
Suite a
North Potomac, MD 20878-3202
Phone (301) 947-2660

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
13587MDMDClinical Social Worker
DEN3291DCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gloria M Lee, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215067897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 DARNESTOWN RD",
            "address_2": "SUITE A",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783202",
            "telephone_number": "301-947-2660",
            "fax_number": "301-947-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 DARNESTOWN RD",
            "address_2": "SUITE A",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208783202",
            "telephone_number": "301-947-2660",
            "fax_number": "301-947-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "CLAIRE",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13587",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN3291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.