Luis Diego Clare

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

4139 Dayton Xenia Rd
Beavercreek, OH 45432-1948

Phone

(937) 620-7219

NPI assigned

Nov 1, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1386417376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 BORDEAUX DR",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453242852",
            "telephone_number": "513-224-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4139 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454321948",
            "telephone_number": "937-620-7219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Colonel Glenn Highway",
            "address_2": "Wright State University Hamilton Hall South #116",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "453242029",
            "country_code": "US",
            "telephone_number": "567-307-8992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1836 Bordeaux Dr",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "453242852",
            "country_code": "US",
            "telephone_number": "513-224-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARE",
        "first_name": "LUIS",
        "middle_name": "DIEGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "C460524630310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Choices Changes Attitudes, LLC
• Moses Minsung Chung
• Makochi Catherine Chungag
• Madison Grace Ciaramitaro, M.D.
• Jacqueline Cinelli
• Ella Rose Clark
• Jerry A Clark, MD, CMD
• Katherine A Clark, DO
• Katie Marie Clark, DO
• Terra Renee Claybaugh, RN

• Homemaker in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.