Richard McClave, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3063 Issued in NM

Practice address

1231 Candelaria Rd NW
Albuquerque, NM 87107-2767

Phone

(505) 345-8309

NPI assigned

Jun 29, 2006

Last updated

Feb 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1780612820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 CUTLER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061714",
            "telephone_number": "443-694-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 CANDELARIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072767",
            "telephone_number": "505-345-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAVE",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13508",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Russell McClain, R.PH.
• Molly Elizabeth McClain, M.D.
• Dan Evan McClanahan, P.T.
• Linda Marie McClanahan, PT
• Maryanne Kathleen McClanahan, LPN
• Chavonne McClay
• Jill D McCleary, LMT
• Reagan N McClellan
• Abby Jane McClelland
• Carmen McClelland

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.