Active NPI
Clayton Sue Benson
- Prosthetist
- Houston, TX
National Provider Identifier
1609613462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- L2200
- Practice address
- 7505 Main St Ste 125
Houston, TX 77030-4539 - Phone
- (832) 864-4321
- NPI assigned
- Jul 10, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | L2200 | TX | |
| Prosthetist | 224P00000X | L2200 | TX | Primary |
Addresses
Primary practice location
7505 Main St Ste 125
Houston, TX 77030-4539
Mailing address
4310 Dunlavy St Apt 449
Houston, TX 77006-5315
Phone (817) 734-9759
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2200 | TX | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1609613462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 DUNLAVY ST APT 449",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065315",
"telephone_number": "817-734-9759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 MAIN ST STE 125",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304539",
"telephone_number": "832-864-4321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "CLAYTON",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "TX",
"license": "L2200",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "L2200",
"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 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.