Marc Clayton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040460 Issued in PA

Practice address

97 Boundry LN
Beaver, PA 15009-2949

Phone

(724) 728-0970

NPI assigned

May 12, 2015

Sex

Male

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

Enrolled in PA

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

Practice roles

Locations

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.

• Clayton Dentistry

  • General Practice Dentistry
  • Beaver, PA
  • NPI 1457935116
  NPD Authorized official
• Dennis P Clayton DMD

  • Dental Clinic/Center
  • Beaver, PA
  • NPI 1841678703
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1316325194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 BOUNDRY LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 BOUNDRY LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092949",
            "telephone_number": "724-728-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen K Choflet, PA-C
• Christina M Wallace PSYD
• Joseph J Ciocca, MD
• Classical Allergy Consultants PC
• Clayton Dentistry
• Denise Clements
• Adele Clerici, CRNA
• Rich Collins, NBCC, LPC
• Comprehensive Healthcare Management Services, LLC
• Elizabeth Conley

• General Practice Dentistry in Beaver, PA
• Providers in Beaver, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.