NPPES organizational identifier and taxonomy
Matched to a register
As of September 27, 2026, CMS NPPES listed 2 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 1265682249, 1356591333. Reported taxonomy codes: 101Y00000X.
The dated CMS NPPES V.2 bulk snapshot through September 27, 2026. A match requires an exact normalized organization legal name or officially reported DBA, exact full practice street and city/state, and an active Type 2 NPI record in the latest available release. NPPES data are provider-reported; NPI assignment and taxonomy do not establish state licensure, credentialing, quality, insurance participation, or that a 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 snapshot includes the September 14, 2026 CMS NPPES V.2 full file and weekly updates through September 27, 2026. CMS NPPES data are provider-reported; an NPI or taxonomy does not establish licensure, credentialing, quality, insurance participation, or current operation.
- CMS NPPES provider record 1356591333 · Source observed 2026-10-01
- CMS NPPES provider record 1265682249 · Source observed 2026-10-01
- CMS NPPES V.2 monthly and weekly downloadable files · Source observed 2026-10-01
Reviewed 2026-10-01 · Review due 2026-10-31 · Version 2