Kelly L. Clauss, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008873 Issued in CT

Practice address

55 Peck Rd
Torrington, CT 06790-6106

Phone

(860) 482-8588

Fax

(860) 482-7596

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

State licenses

Practice roles

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.

• Northwest Corner Dental Partners LLP

  • Dental Clinic/Center
  • Torrington, CT
  • NPI 1659840197
  NPD (past) Authorized official
• DRS.Coutant, Sederqust & Nebor, Dentists,PC

  • General Practice Dentistry
  • Torrington, CT
  • NPI 1871656660
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1457575052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906106",
            "telephone_number": "860-482-8588",
            "fax_number": "860-482-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906106",
            "telephone_number": "860-482-8588",
            "fax_number": "860-482-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSS",
        "first_name": "KELLY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051976-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Health Center of Torrington LLC
• Young Moon Cho, DDS
• Nancy Christiano, APRN
• City of Torrington Sullivan Senior Center
• Kristina Clark, APRN
• Alyssa Marie Clifford
• Daniel D Coelho, MD
• Kali Colapietro, LCSW
• William X Coll, MD
• Nicole Collin

• General Practice Dentistry in Torrington, CT
• Providers in Torrington, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.