Active NPI
Crownsnclaws LLC
- Prosthetic/Orthotic Supplier
- Tampa, FL
National Provider Identifier
1720780901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CROWNSNCLAWS LLC
- Practice address
- 4626 Ashburn Square Dr
Tampa, FL 33610-5956 - Phone
- (813) 753-2413
- Fax
- (813) 910-9049
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dakeita Vinnie Jackson
- Title
- Owner
- Phone
- (813) 753-2413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4626 Ashburn Square Dr
Tampa, FL 33610-5956
Mailing address
19046 Bruce B Downs Blvd # 1042
Tampa, FL 33647-2434
Phone (813) 753-2413
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1720780901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19046 BRUCE B DOWNS BLVD # 1042",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472434",
"telephone_number": "813-753-2413",
"fax_number": "813-910-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4626 ASHBURN SQUARE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336105956",
"telephone_number": "813-753-2413",
"fax_number": "813-910-9049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWNSNCLAWS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DAKEITA",
"authorized_official_middle_name": "VINNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-753-2413"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.