John Robert St Clair, D.D.S., M.S., P.A.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10457 Issued in TX

Practice address

5203 79TH St
Suite H
Lubbock, TX 79424-2850

Phone

(806) 799-6780

Fax

(806) 698-0668

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• St. Clair and St. Clair Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lubbock, TX
  • NPI 1902013881
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700947355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 79TH ST",
            "address_2": "SUITE H",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242850",
            "telephone_number": "806-799-6780",
            "fax_number": "806-698-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 79TH ST",
            "address_2": "SUITE H",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242850",
            "telephone_number": "806-799-6780",
            "fax_number": "806-698-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CLAIR",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "10457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Carol Squires, RPH
• Somkid Sridaromont, MD
• Gwyn Srifuengfung
• Weeraporn Srisung, MD
• James Thomas St Clair, D.D.S.
• Kansas Marie St Clair, FNP
• St. Clair and St. Clair Orthodontics
• St. Francis Community Services in Texas, Inc.
• Janice Stachowiak, M.D.
• Hailee Rae Stacy, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.