NPIMap

Organization Active NPI

Michelle Renee Cranial Prothesis

  • Customized Equipment (DME)
  • District Heights, MD
National Provider Identifier
1740980044
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MICHELLE RENEE CRANIAL PROTHESIS
Practice address
6019 Marlboro Pike
District Heights, MD 20747-2147
Phone
(240) 355-6533
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Michelle MasonNPI 1093111684
Title
Supervisor
Phone
(240) 355-6533

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

6019 Marlboro Pike
District Heights, MD 20747-2147

Mailing address

723 Fallsgrove Dr Apt 4111
Rockville, MD 20850-7786
Phone (240) 355-6533

Other practice location 1

Forestville Rehabilitation Center 7420 Marlboro Pike
Forestville, MD 20747
Phone (240) 355-6533

Other names 2

  • Michelle Mason Doing business as
  • michelle Renee Cranial Prothesis Doing business as

National Provider Directory

National Provider Directory

Locations

6019 Marlboro Pike
District Heights, MD 20747
Phone (240) 355-6533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1740980044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 FALLSGROVE DR APT 4111",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507786",
            "telephone_number": "240-355-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 MARLBORO PIKE",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472147",
            "telephone_number": "240-355-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Forestville Rehabilitation Center 7420 Marlboro Pike",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "MD",
            "postal_code": "20747",
            "country_code": "US",
            "telephone_number": "240-355-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE RENEE CRANIAL PROTHESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "240-355-6533"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Mason",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "michelle Renee Cranial Prothesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.