Active NPI
James Louis Clousing, D.D.S.
- General Practice Dentistry
- Winfield, IL
National Provider Identifier
1407914781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019017177
- Practice address
- 1 N 121 County Farm Road
Suite 140
Winfield, IL 60190 - Phone
- (630) 668-4070
- Fax
- (630) 681-0305
- NPI assigned
- Dec 5, 2006
- Last updated
- Aug 5, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 019017177 | IL | Primary |
Addresses
Primary practice location
1 N 121 County Farm Road
Suite 140
Winfield, IL 60190
Mailing address
1 N 121 County Farm Road
Suite 140
Winfield, IL 60190
Phone (630) 668-4070
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1407914781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N 121 COUNTY FARM ROAD",
"address_2": "SUITE 140",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-668-4070",
"fax_number": "630-681-0305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N 121 COUNTY FARM ROAD",
"address_2": "SUITE 140",
"city": "WINFIELD",
"state": "IL",
"postal_code": "60190",
"telephone_number": "630-668-4070",
"fax_number": "630-681-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSING",
"first_name": "JAMES",
"middle_name": "LOUIS",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019017177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.