Organization Active NPI

Resilient Locks LLC

  • Prosthetic/Orthotic Supplier
  • Waldorf, MD
National Provider Identifier
1760258172
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
RESILIENT LOCKS LLC
Practice address
16703 Mattawoman LN
Waldorf, MD 20601-3802
Phone
(301) 741-0712
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Sherrell Tolbert
Title
Co-Owner
Phone
(848) 278-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

16703 Mattawoman LN
Waldorf, MD 20601-3802

Mailing address

12530 Fairwood Pkwy Ste 102
Bowie, MD 20720-6357
Phone (848) 278-7717

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1760258172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 FAIRWOOD PKWY STE 102",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206357",
            "telephone_number": "848-278-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16703 MATTAWOMAN LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013802",
            "telephone_number": "301-741-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT LOCKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "SHERRELL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "848-278-7717"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.