D'Erica Dione Oates, CRANIAL PROTHESIS

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

K0NUM2LGWU Issued in FL

Practice address

1022 W Sr 436 Ste 1000
Altamonte SPG, FL 32714-2919

Phone

(689) 227-3434

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1699556506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 CRANBERRY ISLES WAY",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122144",
            "telephone_number": "407-508-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W SR 436 STE 1000",
            "city": "ALTAMONTE SPG",
            "state": "FL",
            "postal_code": "327142919",
            "telephone_number": "689-227-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "D'ERICA",
        "middle_name": "DIONE",
        "credential": "CRANIAL PROTHESIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "K0NUM2LGWU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robbie Phillips
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• Prosthetic/Orthotic Supplier in Altamonte SPG, FL
• Providers in Altamonte SPG, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.