Organization Active NPI

Unique Creationz RX

  • Prosthetics Case Management
  • Marietta, GA
National Provider Identifier
1306460662
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
UNIQUE CREATIONZ RX
Practice address
2500 Dallas Hwy SW Ste 202-1082
Marietta, GA 30064-2567
Phone
(706) 587-2370
Fax
(770) 766-8337
NPI assigned
Jun 2, 2020
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Marquisha General
Title
Owner
Phone
(706) 587-2370

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X NU Primary
Prosthetist 224P00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

2500 Dallas Hwy SW Ste 202-1082
Marietta, GA 30064-2567

Mailing address

2500 Dallas Hwy SW Ste 202-1082
Marietta, GA 30064-2567
Phone (706) 587-2370

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9726454185

National Provider Directory

National Provider Directory

Locations

2500 Dallas Hwy SW
Ste 2021082
Marietta, GA 30064
Phone (706) 587-2370

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1306460662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW STE 202-1082",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642567",
            "telephone_number": "706-587-2370",
            "fax_number": "972-645-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DALLAS HWY SW STE 202-1082",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300642567",
            "telephone_number": "706-587-2370",
            "fax_number": "770-766-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE CREATIONZ RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "GENERAL",
        "authorized_official_first_name": "MARQUISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-587-2370"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9726454185",
            "affiliation": "N",
            "endpointDescription": "Fax#",
            "address_1": "2500 Dallas Hwy SW Ste 202-1082",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300642567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.