Active NPI
Christopher Keith Claus, D.D.S., M.S.D.
- Pediatric Dentistry
- Woodland, CA
National Provider Identifier
1245461920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 61096
- Practice address
- 2041 Bronze Star Dr
Woodland, CA 95776-5427 - Phone
- (530) 668-9187
- NPI assigned
- Jul 29, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 24732 | TX | |
| Pediatric Dentistry | 1223P0221X | 61096 | CA | Primary |
Addresses
Primary practice location
2041 Bronze Star Dr
Woodland, CA 95776-5427
Mailing address
24 Del Prado Cir
Fairfield, CA 94533-1864
Phone (713) 435-9250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150819008684 | CA | Order and Referring Only - Dentist | 6103131156 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61096 | CA | MD | Pediatric Dentist |
| 24732 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1245461920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 DEL PRADO CIR",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945331864",
"telephone_number": "713-435-9250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 BRONZE STAR DR",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957765427",
"telephone_number": "530-668-9187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAUS",
"first_name": "CHRISTOPHER",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "24732",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "61096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.