Daniel T Clader, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105387 Issued in CO

Practice address

601 S 3Rd St
Montrose, CO 81401-4207

Phone

(970) 249-6955

Fax

(970) 249-7309

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 13, 2016 through Apr 13, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amiee Rawlings DDS, PLLC

  • Dental Clinic/Center
  • Montrose, CO
  • NPI 1881172443
  NPD (past)
• Center for Dental Excellence, Inc

  • General Practice Dentistry
  • Montrose, CO
  • NPI 1215045042
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831208677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014207",
            "telephone_number": "970-249-6955",
            "fax_number": "970-249-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 3RD ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014207",
            "telephone_number": "970-249-6955",
            "fax_number": "970-249-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLADER",
        "first_name": "DANIEL",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "105387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11636319",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Lee Cherry, LMT
• Children'S Hospital Colorado
• Kevin J Chismire, M.D.
• Cimarron Dental Hygiene
• CJ Medical Transportation
• Thomas A Clagett, MD
• Shara Clark
• Elizabeth Clausen
• Stacey Cline, OTR
• Patrick Cloward

• General Practice Dentistry in Montrose, CO
• Providers in Montrose, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.