Jody Lavaun Clements, DMD, MDS

Primary specialty

DentistTaxonomy code 122300000X

License

10133 Issued in TN

Practice address

795 Ridge Lake Blvd Ste 101
Memphis, TN 38120

Phone

(901) 682-5001

NPI assigned

Aug 10, 2015

Sex

Female

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

Interoperability endpoints

• Direct secure messaging: jclements369870@direct.med.utah.edu

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1841676152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 RIDGE LAKE BLVD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209475",
            "telephone_number": "901-682-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 RIDGE LAKE BLVD STE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-682-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Poplar View Pkwy",
            "address_2": "Suite #A",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380173435",
            "country_code": "US",
            "telephone_number": "901-850-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JODY",
        "middle_name": "LAVAUN",
        "name_prefix": "Dr.",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5137057-9922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Cleaves
• Elizabeth Goodwin Cleaves, PHARM.D
• Latonya Cleaves
• Paul David Clein, MD
• Brittany Nicole Clements
• Makayla Clements, BCBA
• Barbara Jean Clemons, CMSW
• Mark P Clemons, MD
• Renesa Marie Clemons, LCSW
• Kenneth P Clenin, DC

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.