Claire Elizabeth Waldman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2023020696 Issued in MO

Practice address

510 S Hanley Rd
Clayton, MO 63105-2038

Phone

(314) 721-2346

NPI assigned

Jun 5, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wydown Dental Group, Inc.

  • Dentist
  • Saint Louis, MO
  • NPI 1568669349
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1992499099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7271 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304406",
            "telephone_number": "314-650-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S HANLEY RD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052038",
            "telephone_number": "314-721-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Derhake Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630317717",
            "country_code": "US",
            "telephone_number": "314-921-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023020696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyria Alexis Viehman, NONE
• Laura Vintes
• Maysa E Viviano, NONE
• Robert Troy Von Nordheim
• Imahn Wakefield
• Walgreen Co
• Brenda Lee Walker, ANP
• Margaret Walker
• Emily Nicole Walsh, DPT
• Walter Pfitzinger DDS #2 PC

• All providers in Clayton, MO
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.