NPIMap

Organization Active NPI

C Jeff Clay, D.D.S. Inc.

  • General Practice Dentistry
  • Shady Spring, WV
National Provider Identifier
1982765517
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2683 Issued in WV
Legal business name
C JEFF CLAY, D.D.S. INC.
Practice address
479 Flat Top Rd
Shady Spring, WV 25918
Phone
(304) 763-4665
Fax
(304) 763-5172
NPI assigned
Dec 13, 2006
Last updated
Jan 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Authorized official

Name
Dr. Carl Jeffrey Clay, D. D.S.NPI 1457394447
Title
President
Phone
(304) 763-4665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2683 WV Primary

Addresses

Primary practice location

479 Flat Top Rd
Shady Spring, WV 25918

Mailing address

479 Flat Top Rd
Shady Spring, WV 25918-8614
Phone (304) 763-4665

National Provider Directory

National Provider Directory

Locations

479 Flat Top Rd
Shady Spring, WV 25918
Phone (304) 763-4665

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1982765517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 FLAT TOP RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "259188614",
            "telephone_number": "304-763-4665",
            "fax_number": "304-763-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 FLAT TOP RD",
            "city": "SHADY SPRING",
            "state": "WV",
            "postal_code": "25918",
            "telephone_number": "304-763-4665",
            "fax_number": "304-763-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C JEFF CLAY, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-763-4665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shady Spring, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.