NPI Code Detail JSON Logo

1396604583 NPI number — MEDCROWN SOLUTIONS

NPI Number: 1396604583
Health Care Provider/Practitioner: MEDCROWN SOLUTIONS

Information about “1396604583” NPI (MEDCROWN SOLUTIONS) exists in 1396604583 in HTML format HTML  |  1396604583 in plain Text format TXT  |  1396604583 in PDF (Portable Document Format) PDF  |  1396604583 in an XML format XML  formats.

NPI Number : 1396604583 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396604583",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEDCROWN SOLUTIONS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2870 PEACHTREE RD NW # 915-1369",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30305-2918",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-580-3430",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3288 DOGWOOD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAPEVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30354-1158",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "770-580-3430",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/21/2026",
    "LastUpdateDate": "01/21/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BEAVERS",
    "AuthorizedOfficialFirstName": "TERESA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "770-580-3430",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "335E00000X",
        "TaxonomyName": "Prosthetic/Orthotic Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.