Katelyn McClure, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00202902 Issued in CO

Practice address

10359 Federal Blvd Ste 110
Denver, CO 80260-7453

Phone

(303) 466-2300

Fax

(303) 466-8666

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• North Park Dental Group

  • General Practice Dentistry
  • Westminster, CO
  • NPI 1528286598
  NPD (past)
• Northpark Dental Group PLLC

  • General Practice Dentistry
  • Westminster, CO
  • NPI 1790299279
  NPD (past)

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1558712554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10359 FEDERAL BLVD STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802607453",
            "telephone_number": "303-466-2300",
            "fax_number": "303-466-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10359 FEDERAL BLVD STE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802607453",
            "telephone_number": "303-466-2300",
            "fax_number": "303-466-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "KATELYN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrean McCloud
• Emily A McCloud, RD
• Emily Taylor McCloy, BSN, RN
• Jacklyn McClure, RN
• Karen R McClure, R.N.
• James Russell McCluskey, PT
• Makena Grace McCluskey, DPT
• Emily Carol McCollum, PMHNP
• Austin McComas
• Shannon McComas, B.A.

• Dentist in Denver, CO
• Providers in Denver, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.