MIXED ROOTS LLC
NPI 1962263871
Prosthetic/Orthotic Supplier in Raleigh, NC

Q: What is Mixed Roots LLC's NPI number?

The NPI number for Mixed Roots LLC is 1962263871. It was assigned to this organization in the NPPES registry on January 18, 2024.

Q: What is Mixed Roots LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mixed Roots LLC was last updated on January 18, 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.

Active since January 18, 2024

6300 CREEDMOOR RD STE 118, RALEIGH, NC 27612(919) 720-4080 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mixed Roots Llc NPPES

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

MIXED ROOTS LLC (NPI 1962263871) is a healthcare organization registered as a prosthetic/orthotic supplier in Raleigh, North Carolina and active in the NPI registry since January 2024. The organization lists Patricia Mccray, Salon Owner, as its authorized official.

NPPES Registry Identity

NPI1962263871

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameMIXED ROOTS LLC

Location Address6300 CREEDMOOR RD STE 118Raleigh, NC 27612-6730

Mailing Address10624 Sunny Point DrZebulon, NC 27597-6880 · (856) 236-6555

Phone(919) 720-4080

Organization SubpartNo

Authorized OfficialPatricia MccraySalon Owner · (856) 236-6555

Enumeration DateJanuary 18, 2024

NPPES CertifiedJanuary 17, 2024

✔ NPI 1962263871 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.

6300 CREEDMOOR RD STE 118, Raleigh, NC 27612

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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 Mixed Roots LLC's NPI number?

The NPI number for Mixed Roots LLC is 1962263871. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Mixed Roots LLC located?

Mixed Roots LLC is located at 6300 Creedmoor Rd Ste 118, Raleigh, NC 27612. The listed phone number is (919) 720-4080.

What is Mixed Roots LLC'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 Mixed Roots LLC was last updated on January 18, 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.