Clavon Clinic, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CLAVON CLINIC, LLC

Practice address

4915 Saint Elmo Ave Ste 300
Bethesda, MD 20814-6077

Phone

(240) 970-1780

Fax

(240) 970-1781

NPI assigned

Feb 13, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kelvin Smith Jr., CONPI 1265062343

Title

Orthotist

Phone

(240) 750-4599

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Kelvin Smith Jr., LO, CO

  • Orthotist
  • Bethesda, MD
  • NPI 1265062343
  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1609573369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146077",
            "telephone_number": "240-970-1780",
            "fax_number": "240-970-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146077",
            "telephone_number": "240-970-1780",
            "fax_number": "240-970-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAVON CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "ORTHOTIST",
        "authorized_official_telephone_number": "240-750-4599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Albert Clark, D.O.
• Ashley Jean Clarke, MS, OTR/L
• Kenneth Clarke
• Leslie Clarke, LCSW-C
• Patricia W Clausen, FNP
• Lance Douglas Clawson, M.D.
• Molly Cochran Clay, CRNP-A
• London Clayton
• Frances Murray Claytor, M.D.
• Clearway Anesthesia Services NE LLC

• Prosthetic/Orthotic Supplier in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.