Individual provider Active NPI

Jay Ryan Claywell, D.M.D.

  • General Practice Dentistry
  • Bardstown, KY
National Provider Identifier
1639305345
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8727 Issued in KY
Practice address
621 N 3Rd St
Bardstown, KY 40004-1750
Phone
(502) 348-5901
Fax
(502) 348-7260
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8727 KY Primary

Addresses

Primary practice location

621 N 3Rd St
Bardstown, KY 40004-1750

Mailing address

621 N 3Rd St
Bardstown, KY 40004-1750
Phone (502) 348-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222001507 KY Order and Referring Only - DentistPractitioner - Dentist 2163703562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bardstown on Call Dental General Practice Past Accepting new patients
Shrewsbury, Claywell and Oliver Dentistry Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1639305345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 N 3RD ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041750",
            "telephone_number": "502-348-5901",
            "fax_number": "502-348-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N 3RD ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041750",
            "telephone_number": "502-348-5901",
            "fax_number": "502-348-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYWELL",
        "first_name": "JAY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.