NPIMap

Organization Active NPI

Avanti Cranial Prosthesis RX

  • Prosthetic/Orthotic Supplier
  • Owings Mills, MD
National Provider Identifier
1972276020
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
AVANTI CRANIAL PROSTHESIS RX
Practice address
10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594
Phone
(410) 487-4376
Fax
(443) 345-8298
NPI assigned
Jul 26, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Elizabeth Thomas, COSMETOLOGIST
Title
Dircetor
Phone
(443) 850-0693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594

Mailing address

10451 Mill Run Cir Ste 400
Owings Mills, MD 21117-5594
Phone (410) 487-4376

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 4433458298 Health Information Exchange (HIE)
Other URL 4433458298 Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1972276020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175594",
            "telephone_number": "410-487-4376",
            "fax_number": "443-345-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 MILL RUN CIR STE 400",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175594",
            "telephone_number": "410-487-4376",
            "fax_number": "443-345-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI CRANIAL PROSTHESIS RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRCETOR",
        "authorized_official_telephone_number": "443-850-0693",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4433458298",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10451 Mill Run Cir Ste 400",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211175594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4433458298",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10451 Mill Run Cir Ste 400",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211175594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.