Active NPI
Terah Clifford, RDH
- Dental Hygienist
- Cannon AFB, NM
National Provider Identifier
1740660836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 9550
- Practice address
- 224 W DL Ingram Blvd
BLDG 1408 Dental Clinic
Cannon AFB, NM 88103 - Phone
- (575) 784-4041
- NPI assigned
- Jun 3, 2015
- Last updated
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 9550 | SC | Primary |
Addresses
Primary practice location
224 W DL Ingram Blvd
BLDG 1408 Dental Clinic
Cannon AFB, NM 88103
Mailing address
224 W DL Ingram Blvd
BLDG 1408 Dental Clinic
Cannon AFB, NM 88103
Phone (575) 784-4041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1740660836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 W DL INGRAM BLVD",
"address_2": "BLDG 1408 DENTAL CLINIC",
"city": "CANNON AFB",
"state": "NM",
"postal_code": "88103",
"telephone_number": "575-784-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 W DL INGRAM BLVD",
"address_2": "BLDG 1408 DENTAL CLINIC",
"city": "CANNON AFB",
"state": "NM",
"postal_code": "88103",
"telephone_number": "575-784-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "TERAH",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "9550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cannon AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.