DESARAE M GREEN CRANIAL PROSTHESIS
NPI 1235986191
Prosthetic/Orthotic Supplier in Cleveland Heights, OH

Active since April 30, 2024
1917 S TAYLOR RD # 203, CLEVELAND HEIGHTS, OH 44118(440) 431-9108 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desarae M Green Cranial Prosthesis NPPES

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

DESARAE M GREEN CRANIAL PROSTHESIS (NPI 1235986191) is an individual prosthetic/orthotic supplier provider in Cleveland Heights, Ohio and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1235986191
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameDESARAE M GREENCredential: CRANIAL PROSTHESIS
Location Address1917 S TAYLOR RD # 203Cleveland Heights, OH 44118-2103
Mailing Address1917 S Taylor Rd # 203Cleveland Heights, OH 44118-2103 · (440) 431-9108
Sole ProprietorYes
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
NPI 1235986191 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.
1917 S TAYLOR RD # 203, Cleveland Heights, OH 44118

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 Desarae Green's NPI number?

The NPI number for Desarae Green is 1235986191. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Desarae Green located?

Desarae Green practices at 1917 S Taylor Rd # 203, Cleveland Heights, OH 44118. The listed phone number is (440) 431-9108.

What is Desarae Green'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 Desarae Green was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.