Organization Active NPI

Crab Baby LLC

Doing business as Flavors Kitchen

  • Home Delivered Meals
  • Dallas, TX
National Provider Identifier
1891561221
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
CRAB BABY LLC
Doing business as
Flavors Kitchen
Practice address
3518 Spring Ave
Dallas, TX 75210-2046
Phone
(469) 431-0120
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Zonada Fuller
Title
Owner
Phone
(469) 431-0120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

3518 Spring Ave
Dallas, TX 75210-2046

Mailing address

4203 Cabell Dr Apt 331
Dallas, TX 75204-3685
Phone (469) 431-0120

Other names 1

  • Flavors Kitchen Doing business as

National Provider Directory

National Provider Directory

Locations

3518 Spring Ave
Dallas, TX 75210
Phone (469) 431-0120

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": "1701043200000",
    "number": "1891561221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 CABELL DR APT 331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043685",
            "telephone_number": "469-431-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 SPRING AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752102046",
            "telephone_number": "469-431-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAB BABY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ZONADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-431-0120"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flavors Kitchen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.