Clayton Schwinke

Primary specialty

DentistTaxonomy code 122300000X

License

2019018319 Issued in MO

Practice address

1100 NW Jefferson CT
Blue Springs, MO 64015-6382

Phone

(573) 645-8660

NPI assigned

Jun 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clayton Schwinke, DDS, LLC

  • Dental Clinic/Center
  • Blue Springs, MO
  • NPI 1073196762
  NPD Authorized official

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587254400000",
    "number": "1659930113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW JEFFERSON CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW JEFFERSON CT",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640156382",
            "telephone_number": "573-645-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 SW Southgate Dr",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640151806",
            "country_code": "US",
            "telephone_number": "573-645-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWINKE",
        "first_name": "CLAYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2019018319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Schrick
• Johanna Schultz, DPT
• Denise Elaine Schuttig
• Amy Schweder
• Luke A Schweizer
• Natonya Scott, LPC
• Stephanie Scott, APRN, FNP-C
• Bruce D Scully, MD
• Kelly Marie Sears, LPC
• Rachel F Secchio

• Dentist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2020; 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.