Betsey Ann Clark, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050012 Issued in NY

Practice address

419 Walnut St
Elmira, NY 14901-2406

Phone

(607) 733-1715

NPI assigned

Jun 9, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1285860874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WALNUT ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012406",
            "telephone_number": "607-733-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WALNUT ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012406",
            "telephone_number": "607-733-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BETSEY",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "P70283",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Ciccotti, LMSW
• Alana Cicora
• Claudine O Ciprich, RN
• William Edward Clack, MD
• Everton George Clare, MD
• Emily Pauline Clark, PT,DPT
• Mandy Clark, NP
• Steven Richard Clark, DO
• Ashley Clarke, MS RDN CDN
• Edward Holton Clarke, M.D.

• General Practice Dentistry in Elmira, NY
• Providers in Elmira, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.