Active NPI
Clara Sous, BDS, MSD
- Periodontics
- Austin, TX
National Provider Identifier
1063147528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 42087
- Practice address
- 10123 Lake Creek Pkwy BLDG 1
Austin, TX 78729-1755 - Phone
- (512) 335-3600
- NPI assigned
- Jul 19, 2022
- Last updated
- Jan 13, 2026
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 42087 | TX | Primary |
Addresses
Primary practice location
10123 Lake Creek Pkwy BLDG 1
Austin, TX 78729-1755
Mailing address
10123 Lake Creek Pkwy BLDG 1
Austin, TX 78729-1755
Phone (512) 335-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004533 | Medicaid | OH |
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 |
|---|---|---|---|
| 42087 | TX | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Case Dental Medicine Support Services, LLC. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Cleveland, OH
- NPI 1104059658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1063147528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10123 LAKE CREEK PKWY BLDG 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787291755",
"telephone_number": "512-335-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 LAKE CREEK PKWY BLDG 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787291755",
"telephone_number": "512-335-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUS",
"first_name": "CLARA",
"credential": "BDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "42087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004533",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Sound Imaging Medical, Inc.
- Sound Mind Advanced Mental Health Practice, PLLC
- Sound Psychiatry DFW PLLC
- Andrea Sour
- Robert J Sours Jr., RPH
- Tatiana Silva Sousa, M.D.
- South Austin Allergy and Wellness LLC
- South Austin Anesthesiology, PA
- South Austin Caregiving Company LLC (CareCo - The Caregiving Company)
- South Austin Dental Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.