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MINKD OUT EXTENSIONS
NPI 1194478404
Prosthetic/Orthotic Supplier in Atlanta, GA

Active since January 27, 2022
6595 ROSWELL RD STE G-5971, ATLANTA, GA 30328(301) 613-4411 Get Directions Write a Review

NPPES record last updated: October 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2022, Apr 22, 2022, Feb 1, 2022 and 1 more (4 updates tracked since 2022).

About Minkd Out Extensions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINKD OUT EXTENSIONS (NPI 1194478404) is a healthcare organization registered as a prosthetic/orthotic supplier in Atlanta, Georgia and active in the NPI registry since January 2022. The organization lists India Mason, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194478404
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMINKD OUT EXTENSIONS
Location Address6595 ROSWELL RD STE G-5971Atlanta, GA 30328-3152
Mailing Address6595 Roswell Rd Ste G-5971Atlanta, GA 30328-3152 · (301) 613-4411
Phone(301) 613-4411
Organization SubpartNo
Authorized OfficialIndia MasonCeo · (301) 613-4411
Enumeration DateJanuary 27, 2022
Last NPPES UpdateOctober 23, 20224 updates tracked since enumeration
NPPES CertifiedOctober 23, 2022
✔ NPI 1194478404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
6595 ROSWELL RD STE G-5971, Atlanta, GA 30328
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minkd Out Extensions's NPI number?

The NPI number for Minkd Out Extensions is 1194478404. It was assigned to this organization in the NPPES registry on January 27, 2022.

Where is Minkd Out Extensions located?

Minkd Out Extensions is located at 6595 Roswell Rd Ste G-5971, Atlanta, GA 30328. The listed phone number is (301) 613-4411.

What is Minkd Out Extensions's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Minkd Out Extensions was last updated on October 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.