Active NPI
Jay Ryan Claywell, D.M.D.
- General Practice Dentistry
- Bardstown, KY
National Provider Identifier
1639305345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161222001507 | KY | Order and Referring Only - Dentist | 2163703562 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Bardstown, KY
- NPI 1013443894
-
- Dentist
- Bardstown, KY
- NPI 1912118274
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.