Individual provider Active NPI

Michele L. Claeys, D.M.D.

  • General Practice Dentistry
  • Martinez, GA
National Provider Identifier
1346364650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10209 Issued in GA
Practice address
2920 Professional Pkwy
Martinez, GA 30907-6527
Phone
(706) 868-8155
Fax
(706) 868-5703
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10209 GA Primary

Addresses

Primary practice location

2920 Professional Pkwy
Martinez, GA 30907-6527

Mailing address

2920 Professional Pkwy
Martinez, GA 30907-6527
Phone (706) 868-8155

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

LicenseStateTypeSpecialty
10209GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry at Crane Creek, P.C. General Practice PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346364650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 PROFESSIONAL PKWY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309076527",
            "telephone_number": "706-868-8155",
            "fax_number": "706-868-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 PROFESSIONAL PKWY",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309076527",
            "telephone_number": "706-868-8155",
            "fax_number": "706-868-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAEYS",
        "first_name": "MICHELE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.