Clear Creek Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLEAR CREEK DENTAL

Practice address

6364 Main St
North Branch, MN 55056-6693

Phone

(651) 674-8128

NPI assigned

Mar 26, 2009

Organization subpart

No

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

Authorized official

Name

Genie Kuble

Title

Contact Officer

Phone

(920) 450-0157

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Lewis Clawson, DDS

  • Dentist
  • North Branch, MN
  • NPI 1477527216
  NPD (past)

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1861634586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6364 MAIN ST",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6364 MAIN ST",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566693",
            "telephone_number": "651-674-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "KUBLE",
        "authorized_official_first_name": "GENIE",
        "authorized_official_title_or_position": "CONTACT OFFICER",
        "authorized_official_telephone_number": "920-450-0157"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Casterton
• Chasing Calm Waters Psychotherapy LLC
• Mason Hope Clark, DC
• Andrew M Clary, D.O.
• Steven Lewis Clawson, DDS
• Katelyn Connolly
• County of Chisago (Chisago County Public Health Dept)
• County of Chisago (Chisago County Health)
• County Valu Pharmacy
• Jeffrey Cox, MD

• General Practice Dentistry in North Branch, MN
• Providers in North Branch, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.