Active NPI
Elite Enhancements LLC
- Medical Art Specialist/Technologist
- Pikesville, MD
National Provider Identifier
1881327708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Art Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Art Specialist/Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DV5667655 | Other | MD | BOARD OF MARYLAND |
National Provider Directory
National Provider DirectoryLocations
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.