Mackenzie S Clawson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

101184 Issued in IA

Practice address

1850 E 53Rd St Ste 5
Davenport, IA 52807-2784

Phone

(309) 221-3308

NPI assigned

Jun 15, 2021

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

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.

• Myotech, LLC

  • General Practice Dentistry
  • Moline, IL
  • NPI 1811132467
  NPD (past)
• QC Cpap Direct, LLC

  • Durable Medical Equipment & Medical Supplies
  • Moline, IL
  • NPI 1841685500
  NPD (past)

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1851969968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 STATE ST APT 235",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221270",
            "telephone_number": "309-221-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E 53RD ST STE 5",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072784",
            "telephone_number": "309-221-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAWSON",
        "first_name": "MACKENZIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "101184",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Mary Clark, MSW LISW LMFT
• Tara Clark
• Frank Reginald Claudy, MD
• Natalie Clausen-Meyers
• Kasia Anna Claussen, PT, DPT
• Bridget Mackenzie Clemens, PA-C
• Emily R Clifton, LMSW, LSW
• Clinton Physical Therapy Services
• Kristy L Clinton, APRN
• Clyfee Dialysis LLC

• Dentist in Davenport, IA
• Providers in Davenport, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.