Organization Active NPI

Crown Restoration Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Cape Coral, FL
National Provider Identifier
1467391144
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CROWN RESTORATION PROSTHETICS
Practice address
2904 NW 19TH Ave
Cape Coral, FL 33993-3931
Phone
(239) 365-3505
NPI assigned
Mar 26, 2026
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Jasmine WilliamsNPI 1154262533
Title
Managing Member
Phone
(239) 324-8036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2904 NW 19TH Ave
Cape Coral, FL 33993-3931

Mailing address

2904 NW 19TH Ave
Cape Coral, FL 33993-3931
Phone (239) 365-3505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1774569600000",
    "number": "1467391144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 NW 19TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933931",
            "telephone_number": "239-365-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 NW 19TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339933931",
            "telephone_number": "239-365-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN RESTORATION PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "239-324-8036"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

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