R Claudio DMD MD PA

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

15004 Issued in FL

Legal business name

R CLAUDIO DMD MD PA

Practice address

2720 Park Dr
Clearwater, FL 33763

Phone

(727) 726-8500

Fax

(727) 725-9716

NPI assigned

Jul 11, 2006

Last updated

Jul 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Richele E Rand Green

Title

Practice Administrator

Phone

(727) 726-8500

Specialties & licenses 1

Addresses

Other names 1

• Oral & Maxillofacial Surgical Specialists Other name

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1902830227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 PARK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-726-8500",
            "fax_number": "727-725-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 PARK DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33763",
            "telephone_number": "727-726-8500",
            "fax_number": "727-725-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R CLAUDIO DMD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "RAND GREEN",
        "authorized_official_first_name": "RICHELE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-726-8500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "15004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Maxillofacial Surgical Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.