Active NPI
Clare E Macaulay, D.D.S.
- General Practice Dentistry
- Bellefontaine, OH
National Provider Identifier
1982772919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22118
- Practice address
- 1021 N Main St
Bellefontaine, OH 43311-2359 - Phone
- (937) 292-7828
- Fax
- (937) 292-7916
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22118 | OH | Primary |
Addresses
Primary practice location
1021 N Main St
Bellefontaine, OH 43311-2359
Mailing address
1021 N Main St
Bellefontaine, OH 43311-2359
Phone (937) 292-7828
Other names 1
- Clare E Tannehill Macaulay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22118 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Dental Care LLC | General Practice | Past | Accepting new patients |
| Limazwick - Bellefontaine, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Bellefontaine, OH
- NPI 1003453432
-
- General Practice Dentistry
- Bellefontaine, OH
- NPI 1326116369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1982772919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N MAIN ST",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112359",
"telephone_number": "937-292-7828",
"fax_number": "937-292-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 N MAIN ST",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112359",
"telephone_number": "937-292-7828",
"fax_number": "937-292-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAULAY",
"first_name": "CLARE",
"middle_name": "E",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "22118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLARE",
"last_name": "MACAULAY",
"middle_name": "E TANNEHILL",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.