Organization Active NPI

Kingdom Crest LLC

  • Durable Medical Equipment & Medical Supplies
  • Shelby, NC
National Provider Identifier
1952278640
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINGDOM CREST LLC
Practice address
101 Epps Retreat LNDG
Shelby, NC 28150-9700
Phone
(704) 284-4548
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Bridgette Epps
Title
Owner
Phone
(704) 284-4548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

101 Epps Retreat LNDG
Shelby, NC 28150-9700

Mailing address

101 Epps Retreat LNDG
Shelby, NC 28150-9700
Phone (704) 284-4548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1952278640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EPPS RETREAT LNDG",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281509700",
            "telephone_number": "704-284-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EPPS RETREAT LNDG",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281509700",
            "telephone_number": "704-284-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM CREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "BRIDGETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-284-4548"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.