Organization Active NPI

Straighten Your Crown, LLC

  • Prosthetic/Orthotic Supplier
  • Rochester, NY
National Provider Identifier
1104735851
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
STRAIGHTEN YOUR CROWN, LLC
Practice address
16 Harway Dr
Rochester, NY 14625-2641
Phone
(585) 795-6198
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Shennetta S Wilson
Title
Cranial Prosthesis Specialist
Phone
(585) 606-9612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

16 Harway Dr
Rochester, NY 14625-2641

Mailing address

16 Harway Dr
Rochester, NY 14625-2641
Phone (585) 795-6198

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1104735851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HARWAY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252641",
            "telephone_number": "585-795-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HARWAY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252641",
            "telephone_number": "585-795-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHTEN YOUR CROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHENNETTA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "585-606-9612"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.