Edna L Clinton, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19878 Issued in FL

Practice address

7205 SE Maricamp Rd
Ocala, FL 34472-2105

Phone

(352) 680-0324

Fax

(352) 680-0173

NPI assigned

Oct 18, 2010

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 FL

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

Networks

• Freedom Health HMO Network

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.

• Project Health Inc

  • Federally Qualified Health Center (FQHC)
  • Inverness, FL
  • NPI 1972959302
  NPD (past)

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1376853929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S US 301",
            "city": "SUMTERVILLE",
            "state": "FL",
            "postal_code": "335855141",
            "telephone_number": "352-793-5900",
            "fax_number": "352-793-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 SE MARICAMP RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344722105",
            "telephone_number": "352-680-0324",
            "fax_number": "352-680-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINTON",
        "first_name": "EDNA",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "631KP",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006788500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinical Pet of Ocala LLC
• Clinical Pet of Ocala LLC
• Clinical Pet of Ocala LLC
• Clinical Pet of Ocala, LLC
• Clinical Positron Emission Tomography LLC
• Jessica Clodi
• Zariah Cloud
• Lisa Ann Cloutier, ARNP, PMHNP-BC
• Matthew Burton Cloutier, PT
• Amy Clunn, MD

• General Practice Dentistry in Ocala, FL
• Providers in Ocala, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.