Active NPI
Robert C Clay, Jr, DDS, LTD
- Dental Clinic/Center
- Palos Heights, IL
National Provider Identifier
1346466851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ROBERT C CLAY, JR, DDS, LTD
- Practice address
- 12500 S Harlem Ave
Palos Heights, IL 60463-2049 - Phone
- (708) 448-0273
- Fax
- (708) 448-0274
- NPI assigned
- Apr 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Collier Clay Jr., DDS
- Title
- President
- Phone
- (708) 448-0273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | IL | Primary |
Addresses
Primary practice location
12500 S Harlem Ave
Palos Heights, IL 60463-2049
Mailing address
12500 S Harlem Ave
Palos Heights, IL 60463-2049
Phone (708) 448-0273
National Provider Directory
National Provider DirectoryLocations
12500 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-0273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Palos Heights, IL
- NPI 1134151954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346466851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 S HARLEM AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632049",
"telephone_number": "708-448-0273",
"fax_number": "708-448-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 S HARLEM AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632049",
"telephone_number": "708-448-0273",
"fax_number": "708-448-0274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT C CLAY, JR, DDS, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "COLLIER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-448-0273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.