Individual provider Active NPI

Janet Kay Clodfelter, DDS

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1720001050
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0000037232 Issued in TN
Practice address
226 Shady Grove Dr
Nashville, TN 37214-2157
Phone
(615) 889-6816
Fax
(615) 889-8502
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 37232 TN
General Practice Dentistry 1223G0001X DS0000037232 TN Primary

Addresses

Primary practice location

226 Shady Grove Dr
Nashville, TN 37214-2157

Mailing address

226 Shady Grove Dr
Nashville, TN 37214-2157
Phone (615) 889-6816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160819001349 TN Order and Referring Only - Other (Non-Physician) 1456646173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS0000037232TNMDGeneral Practice Dentistry
37232TNMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Janet Clodfelter DDS Durable Medical Equipment & Medical Supplies CurrentSince Nov 1, 2020 Accepting new patients

Locations

226 Shady Grove Dr
Nashville, TN 37214
Phone (615) 889-6816

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1720001050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SHADY GROVE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142157",
            "telephone_number": "615-889-6816",
            "fax_number": "615-889-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SHADY GROVE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142157",
            "telephone_number": "615-889-6816",
            "fax_number": "615-889-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLODFELTER",
        "first_name": "JANET",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "37232",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000037232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.