NPIMap

Organization Active NPI

Tamara L. Clauson, DDS, a Professional Corporation

  • General Practice Dentistry
  • Lodi, CA
National Provider Identifier
1568815520
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32548 Issued in CA
Legal business name
TAMARA L. CLAUSON, DDS, A PROFESSIONAL CORPORATION
Practice address
1101 W Tokay St
Suite 1
Lodi, CA 95240-3842
Phone
(209) 334-2821
Fax
(209) 365-6228
NPI assigned
Jul 14, 2016
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Dr. Tamara Lea Clauson, DDSNPI 1285620302
Title
President
Phone
(209) 334-2821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32548 CA Primary

Addresses

Primary practice location

1101 W Tokay St
Suite 1
Lodi, CA 95240-3842

Mailing address

1101 W Tokay St
Suite 1
Lodi, CA 95240-3842
Phone (209) 334-2821

Other names 1

  • TLC Dental Care Other name

National Provider Directory

National Provider Directory

Locations

1101 W Tokay St
Ste 1
Lodi, CA 95240
Phone (209) 334-2821

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1568815520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W TOKAY ST",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403842",
            "telephone_number": "209-334-2821",
            "fax_number": "209-365-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W TOKAY ST",
            "address_2": "SUITE 1",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403842",
            "telephone_number": "209-334-2821",
            "fax_number": "209-365-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA L. CLAUSON, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "CLAUSON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-334-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.