Active NPI
Craig C. Clabaugh, DMD
- General Practice Dentistry
- Stamford, CT
National Provider Identifier
1467895995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6343
- Practice address
- 22 5TH St
Stamford, CT 06905-5030 - Phone
- (203) 327-2540
- NPI assigned
- Apr 15, 2013
- 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 | 6343 | CT | Primary |
Addresses
Primary practice location
22 5TH St
Stamford, CT 06905-5030
Mailing address
22 5TH St
Stamford, CT 06905-5030
Phone (203) 327-2540
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1467895995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 5TH ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055030",
"telephone_number": "203-327-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 5TH ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055030",
"telephone_number": "203-327-2540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLABAUGH",
"first_name": "CRAIG",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-15",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "6343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.