Individual provider Active NPI

Kevin Gregory Clauser, D.D.S.

  • General Practice Dentistry
  • Williamsville, NY
National Provider Identifier
1790794808
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052390-1 Issued in NY
Practice address
1630 Maple Rd Ste 400
Williamsville, NY 14221-3706
Phone
(716) 568-2273
Fax
(716) 568-2047
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 052390-1 NY Primary

Addresses

Primary practice location

1630 Maple Rd Ste 400
Williamsville, NY 14221-3706

Mailing address

5574 Woodsedge CT
Williamsville, NY 14221-2848
Phone (716) 560-2383

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

State licenses

LicenseStateTypeSpecialty
052390-1NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1790794808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5574 WOODSEDGE CT",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212848",
            "telephone_number": "716-560-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MAPLE RD STE 400",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213706",
            "telephone_number": "716-568-2273",
            "fax_number": "716-568-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSER",
        "first_name": "KEVIN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052390-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.