Organization Active NPI

Platinum Base Corp

  • Lodging Provider
  • Philadelphia, PA
National Provider Identifier
1184475345
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
PLATINUM BASE CORP
Practice address
1021 E Dorset St
Philadelphia, PA 19150-3101
Phone
(267) 850-3756
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Shannon O. Reed
Title
Ceo
Phone
(267) 850-3756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X Primary

Addresses

Primary practice location

1021 E Dorset St
Philadelphia, PA 19150-3101

Mailing address

1021 E Dorset St
Philadelphia, PA 19150-3101
Phone (267) 850-3756

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1184475345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 E DORSET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503101",
            "telephone_number": "267-850-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 E DORSET ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503101",
            "telephone_number": "267-850-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM BASE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-850-3756"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.