Organization Active NPI

Elite Enhancements LLC

  • Medical Art Specialist/Technologist
  • Pikesville, MD
National Provider Identifier
1881327708
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X
Legal business name
ELITE ENHANCEMENTS LLC
Practice address
17 Warren Rd Ste 4B
Pikesville, MD 21208-5331
Phone
(443) 449-4712
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Jamaya Moore
Title
Owner
Phone
(443) 212-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Art Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZA2600X Primary

Addresses

Primary practice location

17 Warren Rd Ste 4B
Pikesville, MD 21208-5331

Mailing address

17 Warren Rd Ste 4B
Pikesville, MD 21208-5331
Phone (443) 449-4712

Other identifiers 1

IdentifierTypeStateIssuer
DV5667655OtherMDBOARD OF MARYLAND

National Provider Directory

National Provider Directory

Locations

17 Warren Rd
Ste 4B
Pikesville, MD 21208
Phone (443) 449-4712

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1881327708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN RD STE 4B",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085331",
            "telephone_number": "443-449-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN RD STE 4B",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212085331",
            "telephone_number": "443-449-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE ENHANCEMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAMAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-212-8822"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MARYLAND",
            "identifier": "DV5667655",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.