Heather Cleary, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS110145 Issued in CA

Practice address

806 New Los Angeles Ave Ste B
Moorpark, CA 93021-3609

Phone

(805) 529-1743

NPI assigned

Apr 9, 2024

Last updated

Jul 2, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1598518599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 SEPULVEDA BLVD APT 8",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032726",
            "telephone_number": "952-486-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 NEW LOS ANGELES AVE STE B",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213609",
            "telephone_number": "805-529-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "HEATHER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS110145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Chandler, MFT INTERN
• Chester Lin (Plexus Physical Therapy)
• Chilton and Leste Management Inc. (Access TLC Hospice)
• Chilton and Leste Management Inc. (Access TLC Caregivers)
• Shanthi Chodagiri
• Clinicas del Camino Real Inc (Clinicas del Camino Real Inc., Moorpark)
• Christopher Cocker, PSYD
• Community Medical Specialists Inc (Community Behavioral Health)
• Claire Cooley
• Corner Pharmacy

• Dentist in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.