Organization Active NPI

Thomas S. Clifton, DDS

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1467657569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6020 Issued in NC
Legal business name
THOMAS S. CLIFTON, DDS
Practice address
5242 N Roxboro Rd
Durham, NC 27712-2831
Phone
(919) 383-9472
Fax
(919) 383-9472
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan M. Clifton
Title
Manager
Phone
(919) 471-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6020 NC Primary

Addresses

Primary practice location

5242 N Roxboro Rd
Durham, NC 27712-2831

Mailing address

5242 N Roxboro Rd
Durham, NC 27712-2831
Phone (919) 383-9472

Other identifiers 1

IdentifierTypeStateIssuer
8991624MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467657569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5242 N ROXBORO RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122831",
            "telephone_number": "919-383-9472",
            "fax_number": "919-383-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 N ROXBORO RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277122831",
            "telephone_number": "919-383-9472",
            "fax_number": "919-383-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS S. CLIFTON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-471-2422",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8991624",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.