NPPES organizational identifier and taxonomy
Not established
This fact is not currently established by the evidence in this record.
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.
The previous match is withdrawn from supported results. The directory record does not disclose the suite/unit shown in the CMS NPPES practice address, so the full practice location cannot be confirmed as the same location under the exact-address rule. No NPI identity is established by this evidence. CMS NPPES data are provider-reported and do not establish licensure, credentialing, quality, insurance participation, or current operation.
- CMS NPPES Registry record 1316625999 · Source observed 2026-09-30
Reviewed 2026-10-01 · Review due 2026-10-31 · Version 3