Organization Active NPI

Clair Family Dental Corporation

  • Dentist
  • Windsor Heights, IA
National Provider Identifier
1972947356
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CLAIR FAMILY DENTAL CORPORATION
Practice address
1145 66TH St
Windsor Heights, IA 50324-1705
Phone
(515) 279-0856
Fax
(515) 255-6907
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Mr. Isaac J Clair, DDSA
Title
Dentist
Phone
(515) 279-0856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1145 66TH St
Windsor Heights, IA 50324-1705

Mailing address

1145 66TH St
Windsor Heights, IA 50324-1705
Phone (515) 279-0856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1972947356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 66TH ST",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241705",
            "telephone_number": "515-279-0856",
            "fax_number": "515-255-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 66TH ST",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503241705",
            "telephone_number": "515-279-0856",
            "fax_number": "515-255-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIR FAMILY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CLAIR",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "515-279-0856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDSA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Heights, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.