Claire E Stagg, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12078 Issued in FL

Practice address

2120 Hwy A1A
Indian Harbour Beach, FL 32937-4924

Phone

(321) 777-2797

Fax

(321) 777-6887

NPI assigned

Jan 15, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

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.

• Claire Stagg DDS PA

  • General Practice Dentistry
  • Indian Harbour Beach, FL
  • NPI 1649391731
  NPD (past) Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1285810713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HWY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374924",
            "telephone_number": "321-777-2797",
            "fax_number": "321-777-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HWY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374924",
            "telephone_number": "321-777-2797",
            "fax_number": "321-777-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGG",
        "first_name": "CLAIRE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Slade, LMT
• Breanna Leigh Smith, RBT
• Corey Smith, PA-C
• Indyarria Smith
• Space Coast Urgent Care LLC
• Elizabeth Hess Stamper, MS
• Louis Ira Steinberg
• Jeremy Stewart, MPT
• Heather Stites
• Jennifer C Straub, RN,CNOR,RNFA

• General Practice Dentistry in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.