Lucious Henry Clemons, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401003703 Issued in VA

Practice address

9700 Fort King Rd
Richmond, VA 23229-3842

Phone

(804) 270-5033

NPI assigned

Jul 30, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• L. Henry Clemons D.D.S. PC Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1134385149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 FORT KING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293842",
            "telephone_number": "804-270-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 FORT KING RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293842",
            "telephone_number": "804-270-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "LUCIOUS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401003703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FORMERLY L.HENRY CLEMONS   D.D.S. PC ( NO LONGER CORPORATION) AND NO CORP TAX ID",
            "identifier": "FORMERLY 54-109-4553",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE BOARD OF DENTISTRY LICENSE",
            "identifier": "0401003703",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L.",
            "last_name": "CLEMONS D.D.S. PC",
            "middle_name": "HENRY",
            "credential": "D.D.S,",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daviece Nickee Clement, HAIR LOSS SPECIALIST
• Stephen Clement, MD
• Coburn Shell Clements
• Tessa Shuck Clements, DPT
• Zachary Paul Clements, DO
• Cletus C Aralu MD LLC
• Kaylee Marie Cleveland, OTR/L
• Alison N Clevenger
• Hannah J Clevenger, LCSW, CAADC
• Erin Clibbens, OT

• Dentist in Richmond, VA
• Providers in Richmond, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.