Dawn Clemens, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045095 Issued in NY

Practice address

3329 Blossom LN
North Tonawanda, NY 14120-1273

Phone

(716) 692-9493

NPI assigned

Sep 20, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Dentist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932207651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 BLOSSOM LN",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201273",
            "telephone_number": "716-692-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 BLOSSOM LN",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201273",
            "telephone_number": "716-692-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "DAWN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Megan Chorny, MS,OTR/L
• Lisa Anne Chudoba
• Michael Joseph Cieri, O.D.
• Pamela Ann Clabo, MS CCC-SP NYS LICENS
• Peggy Clarke
• Mary Sandra Cole
• Hollie Colwell, LMHC
• Comprehensive Occupational Medical Services, PC
• Patricia Copeland, LCSW
• Carol Ann Cornacchio, LMHC, CASAC

• General Practice Dentistry in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• General Practice Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.