Dan Ray Clagett, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4441 Issued in KY

Practice address

551 Westport Rd Ste a
Elizabethtown, KY 42701-2950

Phone

(270) 769-3306

Fax

(270) 769-0170

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871649863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 WESTPORT RD STE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012950",
            "telephone_number": "270-769-3306",
            "fax_number": "270-769-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 WESTPORT RD STE A",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012950",
            "telephone_number": "270-769-3306",
            "fax_number": "270-769-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAGETT",
        "first_name": "DAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Trygve Christopherson
• Howard Wilmont Christy V
• Shih-Chia Chung, APRN
• Jennifer Cieslak, LPCC
• Jeri Cincotta, BSC
• Daniel Ryan Clagett, D.M.D., M.S.
• Joan Leslie Clagett, PASTORAL COUNSELOR
• William Thomas Clagett, D.M.D.
• Jessica Ann Clark-Allen
• Brandi J Clark

• General Practice Dentistry in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.