Jeffrey McClendon, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045124 Issued in NY

Practice address

923 5TH Ave
New York, NY 10021-2649

Phone

(212) 734-6111

NPI assigned

Jul 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1841454014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 214TH PL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612123",
            "telephone_number": "718-281-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212649",
            "telephone_number": "212-734-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis McClelland, D.C.
• Keighry McClelland
• Mary Therese McClelland, ANP
• Abbey J McClemont, PH.D.
• Ariana McClendon, MD
• Yaminah Sakinah McClendon, LMSW
• Joanna McClintick, LCSW
• Robert James McClintock, MD
• Aneesah McClinton, M.D.
• Jacob Eugene McCloskey, PT, DPT

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.