Angel Heart Cranial Prosthesis LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ANGEL HEART CRANIAL PROSTHESIS LLC

Practice address

8500 N Stemmons Fwy # 3021
Dallas, TX 75247-3832

Phone

(502) 381-1983

NPI assigned

Sep 20, 2023

Organization subpart

No

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

Authorized official

Name

Fairy LloydNPI 1629854336

Title

Owner

Phone

(314) 562-3698

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fairy Lloyd

  • Prosthetics Case Management
  • Dallas, TX
  • NPI 1629854336
  NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1083492029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 RED OAK DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685719",
            "telephone_number": "502-381-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 N STEMMONS FWY # 3021",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752473832",
            "telephone_number": "502-381-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEART CRANIAL PROSTHESIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "FAIRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-562-3698"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anew Living LLC
• Xinying Ang, PH.D.
• Cheryl Ginger Angadicheril
• Angel Hands
• Angel Haven Home Care
• Angel Home Health Care Agency LLC
• Angel Shines Home Care LLC
• Angel Valley Hospice LLC
• Angela Fields Walker MD PLLC
• Angela Myles M.D., P.a.

• Prosthetic/Orthotic Supplier in Dallas, TX
• Providers in Dallas, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.