Clair S Poff, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9331 Issued in TN

Practice address

107 Maple Row Blvd
Hendersonville, TN 37075-3853

Phone

(615) 822-5588

Fax

(615) 822-3206

NPI assigned

Jun 28, 2011

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 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1386930311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753853",
            "telephone_number": "615-822-5588",
            "fax_number": "615-822-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MAPLE ROW BLVD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753853",
            "telephone_number": "615-822-5588",
            "fax_number": "615-822-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POFF",
        "first_name": "CLAIR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525145",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie R. Piper, LMFT
• Shelair Piro
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• Erica Poima, RBT
• Ron Poland
• Mary Lou Polchek, PTA
• Jessica Pollock, PT
• Rachel Poole, PT. DPT

• General Practice Dentistry in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.