Skyboxx Studio LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

SKYBOXX STUDIO LLC

Doing business as

Eleven11 Extensions

Practice address

519 Memorial Dr SE Ste 301
Atlanta, GA 30312-2286

Phone

(478) 955-9203

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Darius Boone

Title

Ceo

Phone

(424) 333-1591

Specialties & licenses 1

Addresses

Other names 1

• Eleven11 Extensions Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1689253387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FERN BAY DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 MEMORIAL DR SE STE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122286",
            "telephone_number": "478-955-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYBOXX STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DARIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-333-1591"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "customercare@eleven11extensions.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "519 Memorial Dr SE Ste 301",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303122286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eleven11 Extensions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.