Individual provider Active NPI

Elizabeth Larson Clapham, D.D.S.

  • Dentist
  • Dallas, TX
National Provider Identifier
1467701003
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32480 Issued in TX
Practice address
9030 Southwestern Blvd
#3336
Dallas, TX 75214-2236
Phone
(919) 475-7242
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32480 TX Primary
General Practice Dentistry 1223G0001X 9392 NC

Addresses

Primary practice location

9030 Southwestern Blvd
#3336
Dallas, TX 75214-2236

Mailing address

9030 Southwestern Blvd
#3336
Dallas, TX 75214-6235
Phone (919) 475-7242

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

State licenses

LicenseStateTypeSpecialty
32480TXMDDentist
9392NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1467701003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 SOUTHWESTERN BLVD",
            "address_2": "#3336",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752146235",
            "telephone_number": "919-475-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 SOUTHWESTERN BLVD",
            "address_2": "#3336",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142236",
            "telephone_number": "919-475-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPHAM",
        "first_name": "ELIZABETH",
        "middle_name": "LARSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32480",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.