Individual provider Active NPI

Joy D. Clem, DDS

  • Dentist
  • Huntsville, UT
National Provider Identifier
1730343740
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5105713 Issued in UT
Practice address
237 S 7400 E
Building a
Huntsville, UT 84317-9722
Phone
(801) 745-1222
Fax
(801) 745-1233
NPI assigned
Jul 18, 2008
Last updated
Jul 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5105713 UT Primary

Addresses

Primary practice location

237 S 7400 E
Building a
Huntsville, UT 84317-9722

Mailing address

PO Box 477
Huntsville, UT 84317-0477
Phone (801) 745-1222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160509001678 UT Order and Referring Only - DentistPractitioner - Dentist 7810884327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5105713UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joyful Smiles Family Dentistry, P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1730343740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "HUNTSVILLE",
            "state": "UT",
            "postal_code": "843170477",
            "telephone_number": "801-745-1222",
            "fax_number": "801-745-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 S 7400 E",
            "address_2": "BUILDING A",
            "city": "HUNTSVILLE",
            "state": "UT",
            "postal_code": "843179722",
            "telephone_number": "801-745-1222",
            "fax_number": "801-745-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEM",
        "first_name": "JOY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5105713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, UT

Sources for this page

Verify at the official NPI Registry.