OrganizationActive
Custom Crowns
NPI 1205321809 · Customized Equipment (DME) · Hollywood, FL
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
7 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.