Organization Active NPI

Claire Stagg DDS PA

  • General Practice Dentistry
  • Indian Harbour Beach, FL
National Provider Identifier
1649391731
Registry record updated Sep 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0012078 Issued in FL
Legal business name
CLAIRE STAGG DDS PA
Practice address
2120 Highway A1A
Indian Harbour Beach, FL 32937-4924
Phone
(321) 777-2797
Fax
(321) 777-6887
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2017

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

Authorized official

Name
Dr. Claire E. Stagg, DDSNPI 1285810713
Title
Owner
Phone
(321) 777-2797

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0012078 FL Primary

Addresses

Primary practice location

2120 Highway A1A
Indian Harbour Beach, FL 32937-4924

Mailing address

2120 Highway A1A
Indian Harbour Beach, FL 32937-4924
Phone (321) 777-2797

Other names 1

  • Mercury Free Dentistry Other name

National Provider Directory

National Provider Directory

Locations

2120 Highway A1A
Indian Harbour Beach, FL 32937
Phone (321) 777-2797

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1649391731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374924",
            "telephone_number": "321-777-2797",
            "fax_number": "321-777-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374924",
            "telephone_number": "321-777-2797",
            "fax_number": "321-777-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIRE STAGG DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "STAGG",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-777-2797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercury Free Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indian Harbour Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.