Clayton T. Kodama, DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

DF036165 Issued in CA

Legal business name

CLAYTON T. KODAMA, DDS, INC.

Practice address

7225 N 1St St
Suite 107
Fresno, CA 93720-2986

Phone

(559) 431-3806

Fax

(559) 431-6832

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Clayton Tatsuo Kodama, D.D.S.NPI 1174689129

Title

Owner

Phone

(559) 431-3806

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton Tatsuo Kodama, DDS

  • Dentist
  • Fresno, CA
  • NPI 1174689129
  NPD (past) Authorized official

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1942692579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 N 1ST ST",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202986",
            "telephone_number": "559-431-3806",
            "fax_number": "559-431-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N 1ST ST",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202986",
            "telephone_number": "559-431-3806",
            "fax_number": "559-431-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON T. KODAMA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "KODAMA",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "TATSUO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-431-3806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DF036165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Renee Clawges, PA-C
• Mandy Michelle Clawson
• Jimmie Joyce Clay
• David Claypool, MD
• Robert S Claypool
• Geoffrey Clayton
• Jill Ann Clayton, REGISTERED DIETITIAN
• Clean Swyp Solutions LLC
• Clear Wireless Orthodontics
• Clearview Retirement Group

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.