Organization Active NPI

Interchangeable Crowns LLC

  • Customized Equipment (DME)
  • Charlotte, NC
National Provider Identifier
1508521501
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
INTERCHANGEABLE CROWNS LLC
Practice address
12425 High Valley LN
Charlotte, NC 28269-8723
Phone
(716) 319-4842
NPI assigned
Nov 4, 2021
Last updated
Nov 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Deleeah HarrisNPI 1891450896
Title
Member/Organizer
Phone
(716) 319-4842

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Customized Equipment (DME) 332BC3200X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

12425 High Valley LN
Charlotte, NC 28269-8723

Mailing address

12425 High Valley LN
Charlotte, NC 28269-8723
Phone (716) 319-4842

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": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1508521501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 HIGH VALLEY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698723",
            "telephone_number": "716-319-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 HIGH VALLEY LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698723",
            "telephone_number": "716-319-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCHANGEABLE CROWNS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DELEEAH",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "716-319-4842"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.