OrganizationActive
Custom Crowns
NPI 1205321809 · Customized Equipment (DME) · Hollywood, FL
Custom Crowns is a Customized Equipment (DME) organization in Hollywood, FL (NPI 1205321809).
Provider details
- NPI number
- 1205321809
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Tyshawn Martin, Founder/ Ceo(305) 788-7779
Specialties & taxonomies
Suppliers
- Specialist174400000X
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5202 Plunkett St
Hollywood, FL 33021-8023
Phone: (754) 581-8402
Street-level locationGet directions
Mailing address
5202 Plunkett St
Hollywood, FL 33021-8023
Registry dates
- Enumerated
- 2018-06-26
- Last updated
- 2018-06-26
Frequently asked questions
- What is Custom Crowns's NPI number?
- Custom Crowns's National Provider Identifier (NPI) is 1205321809, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Crowns?
- Custom Crowns is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Custom Crowns located?
- Custom Crowns's practice location on file with NPPES is 5202 Plunkett St, Hollywood, FL 33021-8023.
- What is Custom Crowns's phone number?
- The practice phone number listed in the NPPES registry for Custom Crowns is (754) 581-8402.
- Who is the authorized official for Custom Crowns?
- The authorized official listed on Custom Crowns's NPPES record is Tyshawn Martin, Founder/ Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Crowns's NPI active?
- Yes — Custom Crowns's NPI (1205321809) is active in the NPPES registry as of the last update on 2018-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.