Nicholas James Clayton, DDS, MS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27289 Issued in FL

Practice address

200 Solana Rd Ste a
Ponte Vedra Beach, FL 32082-2232

Phone

(904) 273-8881

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

No

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

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.

• Digital Aesthetic Dentistry

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1396553038
  NPD Authorized official

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1902530488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAMP LIGHTER LN",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821943",
            "telephone_number": "703-999-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOLANA RD STE A",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822232",
            "telephone_number": "904-273-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "NICHOLAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Church
• Jessica Marie Clark, APRN
• Mary Kenley Clark, LICSW
• Claudia Rojas-Baisden
• Brett Johnathan Clayton, DO
• Madeleine Gail Clymer, RBT
• Coastal Neuro Care
• Maeve Coen
• Bonni S. Cohen, FNP
• Comfortable Care Dental Health Professionals, P.a.

• General Practice Dentistry in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.