Richard Hayes Clough Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61074242 Issued in WA

Practice address

224 36TH St
Bellingham, WA 98225-6540

Phone

(360) 255-0553

NPI assigned

Apr 9, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1962965665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 AMSTERDAM AVE APT 2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253974",
            "telephone_number": "360-393-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 36TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256540",
            "telephone_number": "360-255-0553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908225201",
            "country_code": "US",
            "telephone_number": "562-826-5407",
            "fax_number": "562-826-5374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "RICHARD",
        "middle_name": "HAYES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61074242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "DE61074242",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin R Clemenson, BS, RD
• Andrea Kristin Clements, SLP
• Kendall Shea Cline, MA, NCC, LMHC
• Shelley Cline
• Janet A Clingaman, ARNP
• Scott Lancaster Clough, D.D.S.
• Barbara M Clure, MD
• Kimberly Casey Coad
• Eileen Marie Coan, OT
• Rachel Kathleen Coats, LMHCA

• Dentist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.