Modular Matter, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MODULAR MATTER, INC.

Practice address

2915 Islay CT
Abingdon, MD 21009-3140

Phone

(443) 961-1121

NPI assigned

Jul 7, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey Gair, PHD

Title

Founder & Ceo

Phone

(443) 961-1121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1982275293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 ISLAY CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 ISLAY CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093140",
            "telephone_number": "443-961-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODULAR MATTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "GAIR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "443-961-1121",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.