Organization Active NPI

Podiatry of Clear Lake, PLLC

  • Podiatrist
  • Webster, TX
National Provider Identifier
1760954739
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PODIATRY OF CLEAR LAKE, PLLC
Practice address
450 W Medical Center Blvd Ste 400
Webster, TX 77598-4233
Phone
(281) 486-7900
Fax
(281) 461-6833
NPI assigned
Jan 1, 2019
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Mr. Nicholas Wadlington
Title
Group Vice President
Phone
(615) 372-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

450 W Medical Center Blvd Ste 400
Webster, TX 77598-4233

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4692
Phone (615) 373-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190705000153 TX Part B Supplier - Clinic/Group Practice 2860727385 Receives reassigned benefits from 2 practitioners
Practice locations: Webster, TX; Texas City, TX; Pasadena, TX; League City, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1760954739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD STE 400",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984233",
            "telephone_number": "281-486-7900",
            "fax_number": "281-461-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRY OF CLEAR LAKE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-01",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-7332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.