Active NPI
Kenneth George Claggett, D.M.D.
- General Practice Dentistry
- Sandy, OR
National Provider Identifier
1386856862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5650
- Practice address
- 39055 Pioneer Blvd
Sandy, OR 97055 - Phone
- (503) 668-7441
- Fax
- (503) 668-8049
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5650 | OR | Primary |
Addresses
Primary practice location
39055 Pioneer Blvd
Sandy, OR 97055
Mailing address
39055 Pioneer Blvd
Sandy, OR 97055
Phone (503) 668-7441
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386856862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39055 PIONEER BLVD",
"city": "SANDY",
"state": "OR",
"postal_code": "97055",
"telephone_number": "503-668-7441",
"fax_number": "503-668-8049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39055 PIONEER BLVD",
"city": "SANDY",
"state": "OR",
"postal_code": "97055",
"telephone_number": "503-668-7441",
"fax_number": "503-668-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAGGETT",
"first_name": "KENNETH",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "5650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, OR
- Catherine Saul, OD, LLC
- Michael J Cha, MD
- Chinook Falls Dental Clinic, PC
- Clackamas County (Sandy Behavioral Health Center)
- Ethan Yoshio Claggett, DMD
- Carrie Renee Conklin
- Derek Conklin, D.M.D.
- Cynthia Lynn Conlin, LAC
- Oscar Luis Contreras, DMD
- County of Clackamas Office of County Auditor (Sandy Health Clinic)
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.