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DR. JONATHAN CHRISTOPHER CLEMETSON D. D. S.
NPI 1316955107
Dentist - General Practice in Dallas, TX

Active since August 04, 2006PECOS Enrolled
1700 PACIFIC AVE, SUITE 260, DALLAS, TX 75201(214) 651-0005(214) 651-1419 Get Directions Write a Review

NPPES record last updated: January 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Christopher Clemetson D. D. S. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN CHRISTOPHER CLEMETSON D. D. S. (NPI 1316955107) is an individual general practice provider in Dallas, Texas, licensed in Texas (21234) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316955107
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JONATHAN CHRISTOPHER CLEMETSONCredential: D. D. S.
Location Address1700 PACIFIC AVE, SUITE 260Dallas, TX 75201-4617
Mailing Address7416 Coronado Ave, Apt. 6Dallas, TX 75214-5834 · (214) 324-5468
Phone(214) 651-0005
Fax(214) 651-1419
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJanuary 7, 2009
✔ NPI 1316955107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 21234
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1700 PACIFIC AVE, Dallas, TX 75201
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Other Identifiers 3

Medicare ID-Type Unspecified8F1187TX
Medicaid163530201TX
Medicare UPINV06701TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Christopher Clemetson D. D. S. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Clemetson's NPI number?

The NPI number for Jonathan Clemetson is 1316955107. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Jonathan Clemetson located?

Jonathan Clemetson practices at 1700 Pacific Ave Suite 260, Dallas, TX 75201. The listed phone number is (214) 651-0005.

What is Jonathan Clemetson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jonathan Clemetson enrolled in Medicare?

Yes. Jonathan Clemetson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Clemetson was last updated on January 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.