Active NPI
Savanna Elaine Clore, RDH
- Dental Hygienist
- Clarklake, MI
National Provider Identifier
1851964068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902019917
- Practice address
- 3451 Reed Rd
Clarklake, MI 49234-9712 - Phone
- (517) 435-9421
- NPI assigned
- Jul 24, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902019917 | MI | Primary |
Addresses
Primary practice location
3451 Reed Rd
Clarklake, MI 49234-9712
Mailing address
3451 Reed Rd
Clarklake, MI 49234-9712
Phone (517) 435-9421
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ? | Other |
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 |
|---|---|---|---|
| 2902019917 | MI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627084800000",
"number": "1851964068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 REED RD",
"city": "CLARKLAKE",
"state": "MI",
"postal_code": "492349712",
"telephone_number": "517-435-9421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 REED RD",
"city": "CLARKLAKE",
"state": "MI",
"postal_code": "492349712",
"telephone_number": "517-435-9421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLORE",
"first_name": "SAVANNA",
"middle_name": "ELAINE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-24",
"last_updated": "2021-07-24",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902019917",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "?",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Clarklake",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "?",
"address_1": "3451 Reed Rd",
"city": "Clarklake",
"state": "MI",
"country_code": "US",
"postal_code": "492349712",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clarklake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.