Active NPI
Theresa Zenner Clouse, RDHAP
- Advanced Practice Dental Therapist
- Visalia, CA
National Provider Identifier
1275958597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Dental Therapist
- License
- HAP506
- Practice address
- 1849 S Tamarack St
Visalia, CA 93277-8422 - Phone
- (559) 737-0123
- NPI assigned
- Feb 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Dental Therapist | 125K00000X | HAP506 | CA | Primary |
Addresses
Primary practice location
1849 S Tamarack St
Visalia, CA 93277-8422
Mailing address
1849 S Tamarack St
Visalia, CA 93277-8422
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
| License | State | Type | Specialty |
|---|---|---|---|
| HAP506 | CA | MD | Advanced Practice Dental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1275958597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 S TAMARACK ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 S TAMARACK ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778422",
"telephone_number": "559-737-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSE",
"first_name": "THERESA",
"middle_name": "ZENNER",
"credential": "RDHAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "125K00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Dental Therapist",
"state": "CA",
"license": "HAP506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.