Daniel Ryan Clagett, D.M.D., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7944 Issued in KY

Practice address

551 Westport Rd
Suite B
Elizabethtown, KY 42701-2920

Phone

(270) 982-7377

Fax

(270) 982-4415

NPI assigned

Feb 15, 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881737096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 WESTPORT RD",
            "address_2": "SUITE B",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012920",
            "telephone_number": "270-982-7377",
            "fax_number": "270-982-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 WESTPORT RD",
            "address_2": "SUITE B",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012920",
            "telephone_number": "270-982-7377",
            "fax_number": "270-982-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAGETT",
        "first_name": "DANIEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "7944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Wilmont Christy V
• Shih-Chia Chung, APRN
• Jennifer Cieslak, LPCC
• Jeri Cincotta, BSC
• Dan Ray Clagett, D.M.D.
• Joan Leslie Clagett, PASTORAL COUNSELOR
• William Thomas Clagett, D.M.D.
• Jessica Ann Clark-Allen
• Brandi J Clark
• Matthew Brian Clark, APRN, FNP-C

• Periodontics in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Periodontics 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.