NPIMap

Organization Active NPI

Cribcrafters

  • Customized Equipment (DME)
  • Reston, VA
National Provider Identifier
1043407240
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2705109387 Issued in VA
Legal business name
CRIBCRAFTERS
Practice address
2206 Castle Rock SQ Apt 22C
Reston, VA 20191-2206
Phone
(703) 338-0822
Fax
(703) 880-7058
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Brad Meyer
Title
Owner
Phone
(703) 338-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2705109387 VA Primary

Addresses

Primary practice location

2206 Castle Rock SQ Apt 22C
Reston, VA 20191-2206

Mailing address

2206 Castle Rock SQ Apt 22C
Reston, VA 20191-2206

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1043407240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 CASTLE ROCK SQ APT 22C",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 CASTLE ROCK SQ APT 22C",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912206",
            "telephone_number": "703-338-0822",
            "fax_number": "703-880-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIBCRAFTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-338-0822"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2705109387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.