Clear Creek Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

868 Issued in NV

Legal business name

CLEAR CREEK DENTAL, LLC

Doing business as

Clear Creek Dental

Practice address

3790 US Highway 395 S
Ste 103
Carson City, NV 89705-6898

Phone

(775) 267-2244

Fax

(775) 267-2115

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jack Lewis Harrington, DDS

Title

Owner

Phone

(775) 267-2244

Specialties & licenses 1

Addresses

Other names 1

• Clear Creek Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Jacob Harger, DMD

  • General Practice Dentistry
  • Thornton, CO
  • NPI 1700261369
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1861671240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 US HIGHWAY 395 S",
            "address_2": "STE 103",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897056898",
            "telephone_number": "775-267-2244",
            "fax_number": "775-267-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 US HIGHWAY 395 S",
            "address_2": "STE 103",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897056898",
            "telephone_number": "775-267-2244",
            "fax_number": "775-267-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-267-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Michael Clark, RN
• Jenna Marie Clark, MSN FNP-C
• Rachell Clark
• Vanessa Ann Clark
• Melba Clayton
• Therese Clemens
• Lisa Clemensen
• Clemmensen, Adams, & Tack PSC (Carson Dermatology)
• Charles Clemmensen, M.D.
• Avenice Cleveland

• General Practice Dentistry in Carson City, NV
• Providers in Carson City, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.