NPPES organizational identifier and taxonomy
Matched to a register
As of September 30, 2026, CMS NPPES listed 3 active Type 2 organizational record(s) matching this directory name and practice location by exact normalized name and exact full practice street, disclosed unit, city and state: NPI 1063963635, 1609110238, 1972224228. Reported taxonomy codes: 231H00000X, 261QP2000X, 363L00000X.
Exact directory business name and full practice street/unit, city and state matched to active CMS NPPES Type 2 record(s), including the record taxonomy classification(s). This is an observation of CMS NPPES listings; NPI assignment and taxonomy do not establish state licensure, credentialing, quality, or that the location is currently operating.
Correction published after rechecking suite/unit parity. Only the NPI records whose complete normalized practice street and suite/unit match the directory address are retained. Records with a suite/unit absent from or different from the directory address were removed. The dated CMS NPPES snapshot was rechecked against the exact directory address. CMS NPPES data are provider-reported; an NPI or taxonomy does not establish licensure, credentialing, quality, insurance participation, or current operation.
- CMS NPPES Registry record 1063963635 · Source observed 2026-09-30
- CMS NPPES Registry record 1609110238 · Source observed 2026-09-30
- CMS NPPES Registry record 1972224228 · Source observed 2026-09-30
Reviewed 2026-10-01 · Review due 2026-10-31 · Version 3