Individual provider Active NPI

Lonnesha Wilson-McDaniels, CRANIAL PROSTHESES

  • Prosthetics Case Management
  • Buffalo, NY
National Provider Identifier
1053292193
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
2658 Delaware Ave Ste 6
Buffalo, NY 14216-1147
Phone
(716) 703-1755
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X NY Primary

Addresses

Primary practice location

2658 Delaware Ave Ste 6
Buffalo, NY 14216-1147

Mailing address

4498 Main St Ste 4
Buffalo, NY 14226-3826
Phone (716) 703-1755

Other practice location 1

2658 Delaware Ave
Buffalo, NY 14216-1147

Other practice location 2

2658 Delaware Ave
Buffalo, NY 14216-1147

Other practice location 3

2658 Delaware Ave Ste 6
Buffalo, NY 14216-1147

Other practice location 4

2658 Delaware Ave Ste 6
Buffalo, NY 14216-1147
Phone (716) 703-1755

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Crown LLC Prosthetics Case Management Current Accepting new patients

Locations

4498 Main St
Ste 4
Buffalo, NY 14226
Phone (716) 218-9827

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1053292193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4498 MAIN ST STE 4",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142263826",
            "telephone_number": "716-703-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 DELAWARE AVE STE 6",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161147",
            "telephone_number": "716-703-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2658 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142161147",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2658 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142161147",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2658 Delaware Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142161147",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2658 Delaware Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142161147",
            "country_code": "US",
            "telephone_number": "716-703-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-MCDANIELS",
        "first_name": "LONNESHA",
        "credential": "CRANIAL PROSTHESES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.