John Edward Clary, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06321 Issued in IA

Practice address

515 Grand Ave Ste 101
Ames, IA 50010-6061

Phone

(515) 232-0558

Fax

(515) 232-2549

NPI assigned

Oct 19, 2006

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

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.

Opted out of Medicare

Previously, effective Aug 24, 2020 through Aug 24, 2026

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Expressions Dental of Iowa, PC

  • Dental Clinic/Center
  • Ames, IA
  • NPI 1134617624
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1962584151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 GRAND AVE STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106061",
            "telephone_number": "515-232-0558",
            "fax_number": "515-232-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GRAND AVE STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106061",
            "telephone_number": "515-232-0558",
            "fax_number": "515-232-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Cisneros, RPH
• Madelyn Abigail Claar
• Cheney Clabaugh
• Benjamin Clark
• Kaitlyn Margaret Clark
• Paula J Clatt
• Clear Brook Counseling Professionals, LLC
• Edward J. Clemmons, DO
• Courtney Clippert-Treadwell, PH.D.
• Derek Paul Cloyd

• General Practice Dentistry in Ames, IA
• Providers in Ames, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.