Organization Active NPI

Hod Advanced Cranial Prosthetics LLC

  • Oxygen Equipment & Supplies (DME)
  • Rochester, NY
National Provider Identifier
1356280184
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
HOD ADVANCED CRANIAL PROSTHETICS LLC
Practice address
345 Lake Ave Apt 4
Rochester, NY 14608-1083
Phone
(585) 694-9175
Fax
(585) 694-9175
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Ms. Portia Shelby Ivery
Title
Cranial Prosthesis Specialist
Phone
(585) 694-9175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

345 Lake Ave Apt 4
Rochester, NY 14608-1083

Mailing address

345 Lake Ave Apt 4
Rochester, NY 14608-1083
Phone (585) 694-9175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1356280184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LAKE AVE APT 4",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081083",
            "telephone_number": "585-694-9175",
            "fax_number": "585-694-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 LAKE AVE APT 4",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081083",
            "telephone_number": "585-694-9175",
            "fax_number": "585-694-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOD ADVANCED CRANIAL PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "IVERY",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_middle_name": "SHELBY",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "585-694-9175",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.