Organization Active NPI

John Clay DDS, PLC

  • General Practice Dentistry
  • Fort Dodge, IA
National Provider Identifier
1619338365
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08231 Issued in IA
Legal business name
JOHN CLAY DDS, PLC
Doing business as
Clay and Associates DDS, PLC
Practice address
1905 North 15TH Street
Fort Dodge, IA 50501
Phone
(515) 573-7601
Fax
(515) 576-3962
NPI assigned
Mar 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. John Clay, DDS
Title
Owner/Dentist
Phone
(515) 573-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 08231 IA Primary

Addresses

Primary practice location

1905 North 15TH Street
Fort Dodge, IA 50501

Mailing address

1905 North 15TH Street
Fort Dodge, IA 50501
Phone (515) 573-7601

Other names 1

  • Clay and Associates DDS, PLC Doing business as

National Provider Directory

National Provider Directory

Locations

1905 N 15th St
Fort Dodge, IA 50501
Phone (515) 573-7601

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1619338365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 NORTH 15TH STREET",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "515-573-7601",
            "fax_number": "515-576-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 NORTH 15TH STREET",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "50501",
            "telephone_number": "515-573-7601",
            "fax_number": "515-576-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CLAY DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "515-573-7601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay and Associates DDS, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.