Custom Carpentry LLC

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

CUSTOM CARPENTRY LLC

Doing business as

Custom Carpentry

Practice address

5527 Wharton LN
Centreville, VA 20120-2062

Phone

(571) 633-5220

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Daniel Mustone

Title

President

Phone

(571) 379-6108

Specialties & licenses 1

Addresses

Other names 1

• Custom Carpentry Doing business as

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1861051286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 WHARTON LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202062",
            "telephone_number": "571-633-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 WHARTON LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202062",
            "telephone_number": "571-633-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARPENTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "MUSTONE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-379-6108"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Carpentry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley Ann Cox
• Teresa Cralle, R.N.
• Creative Connections, PLLC
• Carole Cruse-Olivieri, PSY.D.
• Paul John Curcio, D.C.
• Cyril Joseph MDPC
• Brandon Anthony Czekaj, D.C.
• Shannan Rae Dahl, RN, MT
• Rohit Dasgupta, MD
• Lenore L Day, M.D.

• Home Modifications Contractor in Centreville, VA
• Providers in Centreville, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.