Wilson Bryan Clemons II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5429 Issued in IA

Practice address

1041 Arthur St
Iowa City, IA 52240-6604

Phone

(319) 338-9219

Fax

(319) 338-7265

NPI assigned

Feb 27, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Clemons & Jones Family Dentistry, P.C.

  • General Practice Dentistry
  • Iowa City, IA
  • NPI 1437247202
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245367150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ARTHUR ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406604",
            "telephone_number": "319-338-9219",
            "fax_number": "319-338-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ARTHUR ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406604",
            "telephone_number": "319-338-9219",
            "fax_number": "319-338-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "WILSON",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CORPORATION",
            "identifier": "1437247202",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132258",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverlee A Clearman, RD LD
• Megan Clements
• Theresa Anne Clemmons, D.O.
• Clemons & Jones Family Dentistry, P.C.
• Scott Bryan Clemons, D.D.S.
• Lance Clemsen, LISW
• Melanie Clendenen
• Jason Cleppe, PHARMD
• Melanie Cleveland, M.D.
• Erin Lorene Cline, MSN, ARNP, FNP-C

• General Practice Dentistry in Iowa City, IA
• Providers in Iowa City, IA by specialty
• General Practice Dentistry in Iowa

• 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.