Organization Active NPI

Medical Crown LLC

Doing business as Pritz Queen Royalty LLC

  • Prosthetist
  • Columbia, SC
National Provider Identifier
1366239725
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
MEDICAL CROWN LLC
Doing business as
Pritz Queen Royalty LLC
Practice address
1611 Willowby St Apt a
Columbia, SC 29223-3317
Phone
(839) 201-8661
NPI assigned
Apr 21, 2025
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Sigourney Holmes, MZ8XP4HKEX
Title
Owner/Ceo
Phone
(839) 201-8661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Primary

Addresses

Primary practice location

1611 Willowby St Apt a
Columbia, SC 29223-3317

Mailing address

1611 Willowby St Apt a
Columbia, SC 29223-3317
Phone (839) 201-8661

Other names 1

  • Pritz Queen Royalty LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1366239725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WILLOWBY ST APT A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233317",
            "telephone_number": "839-201-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WILLOWBY ST APT A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292233317",
            "telephone_number": "839-201-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CROWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "SIGOURNEY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "839-201-8661",
        "authorized_official_credential": "MZ8XP4HKEX"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pritz Queen Royalty LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.