Josiah Newell Clements, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE61161416 Issued in WA

Practice address

945 Hildebrand LN NE Ste 230
Bainbridge Island, WA 98110-3080

Phone

(206) 780-1010

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

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

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.

• NG Russell DDS PC

  dba Finn Hill Dental

  • Dental Clinic/Center
  • Poulsbo, WA
  • NPI 1184230294
  NPD
• Nathan G Russell DDS PC

  • Dental Clinic/Center
  • Bainbridge Island, WA
  • NPI 1912864364
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1952074866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 230",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103080",
            "telephone_number": "206-780-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 230",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103080",
            "telephone_number": "206-780-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20307 Viking Ave NW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983708321",
            "country_code": "US",
            "telephone_number": "360-779-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JOSIAH",
        "middle_name": "NEWELL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61161416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wai Wun Diana Chan, MSW, LICSW
• Annika Chrusciel
• Amy Chuang, PHARMD
• Barbara J. Clark, LMHC NCC
• Michelle Clemens, L.M.P.
• Compassion Tree Counseling PLLC
• Andrea Susan Conlon, LICSW
• Mary E Cook, LMT,LAC
• Cornerstone Ocd Anxiety Group
• David B Cowan, MD

• Dentist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.