Keith Edward Clear, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

6962 Issued in CO

Practice address

10450 Park Meadows Dr
Suite 110
Lone Tree, CO 80124-5529

Phone

(720) 502-3694

Fax

(720) 508-3280

NPI assigned

May 22, 2007

Last updated

Apr 1, 2016By the provider in NPPES

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

Enrolled in CO

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.

Enrollment records 1

Specialty

Prosthodontics

Education

Univ of Nebraska Medical Center, Col of Dentistry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Dental Affiliates, PLLCGroup PAC ID 3173010808, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colorado Dental Affiliates, PLLC

  dba Advanced Dental Implant Center of Denver

  • General Practice Dentistry
  • Denver, CO
  • NPI 1497464713
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1942419122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "SUITE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "720-502-3694",
            "fax_number": "720-508-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "address_2": "SUITE 110",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "720-502-3694",
            "fax_number": "720-508-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAR",
        "first_name": "KEITH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CO",
            "license": "6962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dianne Clark, AUD
• Kelly Noelle Clark, FNP
• Larry K Clark, MD
• Susanna Clark, PT, DPT, OCS
• Classic Dental
• Daniel Brian Cleveland, OD
• Clinical Care 365 Inc
• Cliniconcall.Org
• Bryan Clippinger
• Heidi Clune, M.D.

• Prosthodontics in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Prosthodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.