NPIMap

Organization Active NPI

Ondrea Dignity Products Inc.

  • Durable Medical Equipment & Medical Supplies
  • Winston Salem, NC
National Provider Identifier
1194708727
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ONDREA DIGNITY PRODUCTS INC.
Doing business as
Survivor Friendly's Dignity Products
Practice address
2200 Silas Creek Pkwy Ste 1a
Winston Salem, NC 27103-5000
Phone
(336) 760-4333
Fax
(336) 760-1433
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Jacqueline Denise Cromity
Title
Owner
Phone
(336) 760-4333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2200 Silas Creek Pkwy Ste 1a
Winston Salem, NC 27103-5000

Mailing address

2200 Silas Creek Pkwy Ste 1a
Winston Salem, NC 27103-5000
Phone (336) 760-4333

Other identifiers 1

IdentifierTypeStateIssuer
7703374MedicaidNC

Other names 1

  • Survivor Friendly's Dignity Products Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930090977 NC DME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company 7113048794 Practice locations: Winston-Salem, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ondrea Dignity Products Inc2200 Silas Creek Pkwy, Winston-Salem, NC 27103-5000(336) 760-4333 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1409 Plaza West Rd
Ste D
Winston Salem, NC 27103
Phone (336) 760-4333

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1194708727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SILAS CREEK PKWY STE 1A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035000",
            "telephone_number": "336-760-4333",
            "fax_number": "336-760-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SILAS CREEK PKWY STE 1A",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035000",
            "telephone_number": "336-760-4333",
            "fax_number": "336-760-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONDREA DIGNITY PRODUCTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "CROMITY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-760-4333"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703374",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Survivor Friendly's Dignity Products",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.