JACQUELINE CLARY (NPI# 1497130512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497130512 |
| Entity Type | Individual |
| Full Name | JACQUELINE CLARY |
| Credential | D.M.D, M.S.D. |
| Practice Address |
3201 Broadway St Houston TX 77017-2320 |
| Mailing Address |
1885 El Paseo St Apt 32307 Houston TX 77054-3051 |
| Practice Telephone | 7136432500 |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
30763 | TX | Dental Providers |
| Street Address |
3201 BROADWAY ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77017-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184709289 | Nedith Casquete | Dentist | 3201 Broadway St, Houston, TX 77017 | 2006-10-26 |
| 1912346685 | Aanchal Chandra | Dentist | 3201 Broadway St, Houston, TX 77017-2320 | 2013-06-17 |
| 1578739066 | A & A Dental Clinic, P.C. | Dentist | 3201 Broadway St, Houston, TX 77017 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347991 | Michael Shackelford | Technician | 4007 Meridian, Houston, TX 77017 | 2019-10-10 |
| 1528478039 | Gulf Coast Opportunity Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4115 Galveston Road, Houston, TX 77017 | 2014-05-06 |
| 1871926428 | Children 1st Houston South, LLC | Clinic/Center | 8545 Gulf Fwy, Houston, TX 77017 | 2013-08-19 |
| 1609219146 | Harmony Group, LLC | Community/Behavioral Health | 8485 Gulf Fwy Ste A, Houston, TX 77017 | 2013-04-15 |
| 1407102833 | Abby Medical Supply | Durable Medical Equipment & Medical Supplies | 8503 Gulf Freeway, F, Houston, TX 77017 | 2012-08-03 |
| 1568605848 | Atlantic Avenue, LLC | Home Health | 7925 Grafton Street, Houston, TX 77017 | 2009-04-15 |
| 1447404975 | Joseph Sleiman, Md Pa | Family Medicine | 8221 Gulf Freeway, Suite 400, Houston, TX 77017 | 2008-11-11 |
| 1659535938 | Mark E. Caranto,dds,pa | Dentist | 8221 Gulf Freeway Suite 300, Houston, TX 77017 | 2008-07-15 |
| 1275542250 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 8505 Gulf Freeway, Suite F, Houston, TX 77017 | 2006-08-07 |
| 1104302777 | Eduardo Jose Montero Fernandez | Dentist | 3100 Broadway St Ste 101b, Houston, TX 77017 | 2018-07-16 |
| Find all providers in zip 77017 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922620400 | Luis Herra | Dentist | 3838 N Braeswood Blvd Apt 249, Houston, TX 77025-3018 | 2020-05-07 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1871004804 | Khayri Aljabi | Dentist | 6516 Westheimer Rd Ste J, Houston, TX 77057-5139 | 2017-10-17 |
| 1841709367 | Cham Dental Clinic | Dentist | 2656 S Loop W Ste 220, Houston, TX 77054-2798 | 2017-09-27 |
| 1598111676 | Gabriel Fernando Sader | Dentist | 6423 Saragosa Crossing Ln, Houston, TX 77066-3398 | 2016-05-09 |
| 1407287451 | Bk Dental Management Pa | Dentist | 7700 Fulton St, Houston, TX 77022-3638 | 2013-12-02 |
| 1225469273 | Bk Dental Management Pa | Dentist | 7442 Park Place Blvd, Houston, TX 77087-4442 | 2013-12-02 |
| 1831538677 | Johanna Yepez | Dentist | 927 Studewood St Ste 300, Houston, TX 77008-1579 | 2013-06-14 |
| 1013290865 | The Dentists At 650 Heights Pllc | Dentist | 650 Heights Blvd., Houston, TX 77007 | 2011-09-27 |
| 1073844130 | S&s Aldine Dental, PC | Dentist | 10407 North Fwy, Suite B, Houston, TX 77037-1136 | 2010-01-28 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.