Organization Active NPI

Clayton Dental Offices, PLLC

  • Dentist
  • Clayton, NY
National Provider Identifier
1649332180
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046003 Issued in NY
Legal business name
CLAYTON DENTAL OFFICES, PLLC
Practice address
775 Graves St
Clayton, NY 13624-1503
Phone
(315) 686-5142
Fax
(315) 686-2310
NPI assigned
Dec 14, 2006
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Scott A Laclair, DDSNPI 1952355208
Title
Owner
Phone
(315) 686-5142

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 046003 NY
Dentist 122300000X 046003 NY Primary

Addresses

Primary practice location

775 Graves St
Clayton, NY 13624-1503

Mailing address

775 Graves St
PO Box 405
Clayton, NY 13624-1503
Phone (315) 686-5142

Other identifiers 2

IdentifierTypeStateIssuer
1952355208OtherNYINDIVIDUAL NPI #
02145935MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160622002816 NY DME Supplier - Oral Surgery - Dentist 7810288842 Practice locations: Clayton, NY
O20190904001000 NY Part B Supplier - Clinic/Group Practice 7810288842 Receives reassigned benefits from 1 practitioner
Practice locations: Clayton, NY

National Provider Directory

National Provider Directory

Locations

775 Graves St
Clayton, NY 13624
Phone (315) 686-5142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1649332180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 GRAVES ST",
            "address_2": "PO BOX 405",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241503",
            "telephone_number": "315-686-5142",
            "fax_number": "315-686-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 GRAVES ST",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241503",
            "telephone_number": "315-686-5142",
            "fax_number": "315-686-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON DENTAL OFFICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "LACLAIR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-686-5142",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "046003",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1952355208",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145935",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.