Pinknificent Prosthetic LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

PINKNIFICENT PROSTHETIC LLC

Practice address

15811 Kentfield St
Detroit, MI 48223-1246

Phone

(313) 268-0859

NPI assigned

Aug 15, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Easley, CRANIAL PROSTHESIS

Title

Owner

Phone

(313) 268-0859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1124933163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 KENTFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231246",
            "telephone_number": "313-400-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 KENTFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482231246",
            "telephone_number": "313-268-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINKNIFICENT PROSTHETIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-268-0859",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRANIAL PROSTHESIS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynderle L Pineda
• Pink Diamond Beauty Mall Detroit LLC (Pink Diamond Beauty Mall)
• Pink Diamond Crown Collection
• Samuel Ray Pinkerton Jr., RPH
• David Matthew Pinkney, M.D.
• Pinnacle Medical Group
• Cassandra Pino, MD, MS, MPH
• Megan Mae Pinozzi, CRNA
• Benjamin Michael Pinsky
• Ryan Pinti, MD

• Prosthetics Case Management in Detroit, MI
• Providers in Detroit, MI by specialty
• Prosthetics Case Management in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.