Organization Active NPI

Crown Procedure Center LLC

  • Ambulatory Surgical Clinic/Center
  • Madison Heights, MI
National Provider Identifier
1114429891
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CROWN PROCEDURE CENTER LLC
Practice address
28373 Dequindre Rd Ste B
Madison Heights, MI 48071-3003
Phone
(248) 843-4553
NPI assigned
Mar 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Muna Afan
Title
Memeber
Phone
(248) 843-4553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

28373 Dequindre Rd Ste B
Madison Heights, MI 48071-3003

Mailing address

28373 Dequindre Rd Ste B
Madison Heights, MI 48071-3003

National Provider Directory

National Provider Directory

Locations

28373 Dequindre Rd
Ste B
Madison Heights, MI 48071
Phone (248) 843-4553

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1114429891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28373 DEQUINDRE RD STE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28373 DEQUINDRE RD STE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713003",
            "telephone_number": "248-843-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN PROCEDURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "AFAN",
        "authorized_official_first_name": "MUNA",
        "authorized_official_title_or_position": "MEMEBER",
        "authorized_official_telephone_number": "248-843-4553"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.