Stuart McPherson Clements, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42289 Issued in CA

Practice address

13203 Hadley St
Suite #206
Whittier, CA 90601-4519

Phone

(562) 698-0291

Fax

(562) 698-0294

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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 CA

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

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275540940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 HADLEY ST",
            "address_2": "SUITE #206",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014519",
            "telephone_number": "562-698-0291",
            "fax_number": "562-698-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 HADLEY ST",
            "address_2": "SUITE #206",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014519",
            "telephone_number": "562-698-0291",
            "fax_number": "562-698-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "STUART",
        "middle_name": "MCPHERSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviana Cintron
• Charlene Ciruelas, PHARMD
• Catherine Cizmar, OD
• David Thomas Clark, M.D.
• Kaitlyn Nicole Clark, PA-C
• Melvin W. Coats, M.D.
• Daniel Cobau, D.O.
• Henry N Cobau, M.D.
• Cobrakai Express LLC
• Henry Cola, M.D.

• General Practice Dentistry in Whittier, CA
• Providers in Whittier, CA by specialty
• General Practice Dentistry in California

• 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.
• 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.