Crdentia Corporation

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

CRDENTIA CORPORATION

Practice address

1964 Howell Branch Rd
Suite 205
Winter Park, FL 32792-1042

Phone

(407) 677-0400

NPI assigned

Mar 31, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Randall Turnbull, RN

Title

SRVP and Chief Clinical Officer

Phone

(407) 677-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1982876918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD",
            "address_2": "SUITE 205",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "407-677-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD",
            "address_2": "SUITE 205",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "407-677-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRDENTIA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "TURNBULL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "SRVP AND CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "407-677-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.