Active NPI
Elizabeth Alexis Clay, DDS
- Pediatric Dentistry
- Baton Rouge, LA
National Provider Identifier
1851744783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6664
- Practice address
- 9804 Bluebonnet Blvd Ste a
Baton Rouge, LA 70810-6479 - Phone
- (225) 769-1969
- Fax
- (225) 769-1970
- NPI assigned
- Jul 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6664 | LA | |
| Pediatric Dentistry | 1223P0221X | 6664 | LA | Primary |
Addresses
Primary practice location
9804 Bluebonnet Blvd Ste a
Baton Rouge, LA 70810-6479
Mailing address
2140 Kleinert Ave
Baton Rouge, LA 70806-6712
Phone (985) 869-8602
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6664 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1851744783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 KLEINERT AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066712",
"telephone_number": "985-869-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9804 BLUEBONNET BLVD STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708106479",
"telephone_number": "225-769-1969",
"fax_number": "225-769-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "ELIZABETH",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "6664",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "LA",
"license": "6664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.