Christi Van Clifford, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17894 Issued in TX

Practice address

903 Bay Area Blvd
Suite E
Houston, TX 77058-2647

Phone

(281) 486-0440

Fax

(281) 486-5918

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Christi V. Clifford D.D.S., PA

  • General Practice Dentistry
  • Houston, TX
  • NPI 1568557155
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306856935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BAY AREA BLVD",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582647",
            "telephone_number": "281-486-0440",
            "fax_number": "281-486-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BAY AREA BLVD",
            "address_2": "SUITE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582647",
            "telephone_number": "281-486-0440",
            "fax_number": "281-486-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "CHRISTI",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA TX CHIP PROGRAM",
            "identifier": "D17894",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133304906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyra D Clewis, R.PH.
• CLFP MHT LLC
• Carla Norris Click, NP
• Clifford O. Mishaw, M.D., P.C.
• Andrew David Clifford, MOT, OTR/L, ATP
• Patrice Wendy Clifford, PHARM.D.
• Tom Clifford
• Clift Home Care, LLC
• Cliftech Solutions LLC
• Amanda Clifton

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• 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.