Samuel Clarot, DDS MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

37052 Issued in TX

Practice address

10175 Gateway Blvd W Ste 304
El Paso, TX 79925-2203

Phone

(915) 504-6880

Fax

(915) 599-8579

NPI assigned

Mar 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24611/brand/1/csg/1/fhir/r4

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.

• Umc El Paso Healthcare Inc

  • General Practice Physician
  • El Paso, TX
  • NPI 1528683810

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD
• West Texas Maxillofacial Surgery PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • El Paso, TX
  • NPI 1700178555

  Single Specialty

  NPD

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1770945453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252203",
            "telephone_number": "915-504-6880",
            "fax_number": "915-599-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 GATEWAY BLVD W STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799252203",
            "telephone_number": "915-504-6880",
            "fax_number": "915-599-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAROT",
        "first_name": "SAMUEL",
        "credential": "DDS MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "37052",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "37052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Landis Clark, O.D.
• Kristey Lee Clark
• Regina Collette Clark, LMSW
• Karina Clarke
• Editha Abrenilla Claros, N.P.
• Krystallin Clausen, RN
• Shelbie Claycomb
• David Clayden, DDS, MSD
• Claymore Counseling, PLLC
• Clear Route Medical Transportation LLC

• Oral and Maxillofacial Surgery (Dentist) in El Paso, TX
• Providers in El Paso, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.