Thomas M. Clements, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THOMAS M. CLEMENTS, DDS, INC.

Doing business as

Cool Family Dentistry

Practice address

3006 State Highway 49 Ste D
Cool, CA 95614-9490

Phone

(530) 888-6079

NPI assigned

May 11, 2021

Last updated

May 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Michael Clements, DDSNPI 1174777650

Title

President

Phone

(801) 722-9992

Specialties & licenses 1

Addresses

Other names 1

• Cool Family Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Michael Clements, D.D.S.

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1174777650
  NPD Authorized official
• Rikard C Forsberg, DDS

  • General Practice Dentistry
  • Cool, CA
  • NPI 1023154713
  NPD (past)

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1770167272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 STATE HIGHWAY 49 STE D",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149490",
            "telephone_number": "530-888-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 STATE HIGHWAY 49 STE D",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149490",
            "telephone_number": "530-888-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. CLEMENTS, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "CLEMENTS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-722-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cool Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Mikuriya, MD
• Thomas Riggio, O.D.
• Samuel Peter Rydell, PHARMD
• Justine Lorina Scott
• Wigbert Sy

• Dental Clinic/Center in Cool, CA
• Providers in Cool, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.