NPIMap

Organization Active NPI

Chad E. Clement, DDS, PC

  • Dental Clinic/Center
  • Florence, OR
National Provider Identifier
1639716475
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHAD E. CLEMENT, DDS, PC
Practice address
1256 Bay St
Florence, OR 97439-9648
Phone
(541) 997-3423
Fax
(541) 997-8749
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Dr. Chad E Clement, DDSNPI 1164693263
Title
Dr.
Phone
(541) 997-3423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1256 Bay St
Florence, OR 97439-9648

Mailing address

PO Box 1487
Florence, OR 97439-0075
Phone (541) 997-3423

Other names 1

  • Chad E. Clement, DDS, PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@myflorencedds.com Direct

National Provider Directory

National Provider Directory

Locations

1256 Bay St
Florence, OR 97439
Phone (541) 997-3423

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1639716475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1487",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974390075",
            "telephone_number": "541-997-3423",
            "fax_number": "541-997-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 BAY ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974399648",
            "telephone_number": "541-997-3423",
            "fax_number": "541-997-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAD E. CLEMENT, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "CLEMENT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "541-997-3423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@myflorencedds.com",
            "affiliation": "N",
            "endpointDescription": "secure office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1256 Bay St",
            "city": "Florence",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974399648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chad E. Clement, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.