Active NPI
Specialty Facial Prosthetics LLC
- Durable Medical Equipment & Medical Supplies
- Brandon, FL
National Provider Identifier
1912665076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SPECIALTY FACIAL PROSTHETICS LLC
- Practice address
- 214 E Lumsden Rd
Brandon, FL 33511-6440 - Phone
- (813) 684-1142
- Fax
- (813) 681-0921
- NPI assigned
- Dec 6, 2021
- Last updated
- Dec 6, 2021
- Organization subpart
- Yes
- Parent organization
- SPECIALTY FACIAL PROSTHETICS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlesetta Maria Thompson
- Title
- Authorized Official
- Phone
- (405) 595-3226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
214 E Lumsden Rd
Brandon, FL 33511-6440
Mailing address
229 NW 9TH St
Oklahoma City, OK 73102-2619
Phone (405) 595-3226
National Provider Directory
National Provider Directory- Part of
- Specialty Facial Prosthetics LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ocularist
- Oklahoma City, OK
- NPI 1174186191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1912665076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 NW 9TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731022619",
"telephone_number": "405-595-3226",
"fax_number": "405-600-6296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E LUMSDEN RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116440",
"telephone_number": "813-684-1142",
"fax_number": "813-681-0921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY FACIAL PROSTHETICS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPECIALTY FACIAL PROSTHETICS, LLC",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "CHARLESETTA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "405-595-3226"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
- Sparrow's Haven Solace Center, LLC
- Spccsmdbrandon Inc (Star Point Counseling Center)
- Matthew Spears, DO
- Kathleen Marie Specht, APRN
- Specialty Care Assistance Corp.
- Spectrum Steps ABA Inc
- Toni Dawn Spence, LMT
- Vania Rodrigues Sperling, OTR/L
- Joshua James Sperry, M.P.T., M.B.A.
- Spinemed East Hillsborough, Inc (Precision Physical Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.