Clayton Christopher Celander, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN23548 Issued in FL

Practice address

615 A1A N Ste 103
Ponte Vedra Beach, FL 32082-2748

Phone

(904) 273-9353

NPI assigned

Jun 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Endless Summer Dental Care PA

  • Dental Clinic/Center
  • Ponte Vedra Beach, FL
  • NPI 1760270532
  NPD Authorized official

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1346734605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 A1A N STE 103",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822748",
            "telephone_number": "904-273-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 A1A N STE 103",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822748",
            "telephone_number": "904-273-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELANDER",
        "first_name": "CLAYTON",
        "middle_name": "CHRISTOPHER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Carr
• Levan Angella Carter, APRN11039417
• Michael Edward Carver, H.A.S.
• Shirley Casillas
• Claire Castellano, LPC
• Stephanie Michelle Ceparano
• Adam I. Chaifetz, D.C.
• Charles Perniciaro MD PA (Neptune Beach Dermatology)
• Charles V Perniciaro, M.D., P.C., D/B/a Brunswick Dermatology Clinic (Brunswick Dermatology Clinic)
• Christian Counseling Associates of Jacksonville

• Dentist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.