Molina Orthopedic Laboratories Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOLINA ORTHOPEDIC LABORATORIES INC.

Doing business as

Crown City Orthopedic

Practice address

512 W Hickory St Ste 112
Denton, TX 76201-9074

Phone

(619) 489-6120

Fax

(949) 208-4424

NPI assigned

Jun 13, 2022

Organization subpart

Yes

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

Authorized official

Name

Temoer Terry

Title

Owner

Phone

(888) 464-9015

Specialties & licenses 1

Addresses

Other names 1

• Crown City Orthopedic Doing business as

Electronic endpoints 1

Part of

Molina Orth Labs Inc

Locations

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1689304743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W HICKORY ST STE 112",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019074",
            "telephone_number": "619-489-6120",
            "fax_number": "949-208-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W HICKORY ST STE 112",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019074",
            "telephone_number": "619-489-6120",
            "fax_number": "949-208-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA ORTHOPEDIC LABORATORIES INC.",
        "organizational_subpart": "YES",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "TEMOER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-464-9015"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natasha@themommycarekit.com",
            "affiliation": "N",
            "address_1": "512 W Hickory St Ste 112",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762019074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crown City Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crown City Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Denton, TX
• Providers in Denton, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.