Organization Active NPI

Sue Ellen Richardson, DDS, Inc

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1356626758
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUE ELLEN RICHARDSON, DDS, INC
Practice address
7000 Fannin St
Suite 1660
Houston, TX 77030-5400
Phone
(713) 796-9600
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Sue Ellen Richardson, DDSNPI 1962414920
Title
Owner
Phone
(713) 796-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 12776 TX
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7000 Fannin St
Suite 1660
Houston, TX 77030-5400

Mailing address

7000 Fannin St
Suite 1660
Houston, TX 77030-5400
Phone (713) 796-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111018000799 TX DME Supplier - Oral Surgery - Dentist 6800068743 Practice locations: Houston, TX
O20120418000781 TX Part B Supplier - Clinic/Group Practice 6800068743 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7000 Fannin St
Ste 1660
Houston, TX 77030
Phone (713) 796-9600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1356626758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 FANNIN ST",
            "address_2": "SUITE 1660",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305400",
            "telephone_number": "713-796-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 FANNIN ST",
            "address_2": "SUITE 1660",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305400",
            "telephone_number": "713-796-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE ELLEN RICHARDSON, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-796-9600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12776",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.