Clay M Gidel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

32079 Issued in CA

Practice address

3000 Davison Court
Colusa, CA 95932

Phone

(530) 458-2101

Fax

(530) 458-2106

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By 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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972601417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 DAVISON COURT",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "95932",
            "telephone_number": "530-458-2101",
            "fax_number": "530-458-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DAVISON COURT",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "95932",
            "telephone_number": "530-458-2101",
            "fax_number": "530-458-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDEL",
        "first_name": "CLAY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "32079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Louise Frasier, LVN
• Rachel Free
• Elisa Guadalupe Garcia, FNP
• Lilia Garza
• Chad Gidel, DMD
• Damon Gill, DPT
• Angelica Esmeralda Gomez, MSW
• Patricia Gomez
• Michael R Goodman, MD
• Todd Everett Greenley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.