OrganizationActive
Mixed Roots LLC
NPI 1962263871 · Prosthetic/Orthotic Supplier · Raleigh, NC
Mixed Roots LLC is a Prosthetic/Orthotic Supplier organization in Raleigh, NC (NPI 1962263871).
Provider details
- NPI number
- 1962263871
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Patricia Mccray, Salon Owner(856) 236-6555
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
6300 Creedmoor Rd Ste 118
Raleigh, NC 27612-6730
Phone: (919) 720-4080
Street-level locationGet directions
Mailing address
10624 Sunny Point Dr
Zebulon, NC 27597-6880
Registry dates
- Enumerated
- 2024-01-18
- Last updated
- 2024-01-18
- Certified
- 2024-01-17
Frequently asked questions
- What is Mixed Roots LLC's NPI number?
- Mixed Roots LLC's National Provider Identifier (NPI) is 1962263871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mixed Roots LLC?
- Mixed Roots LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Mixed Roots LLC located?
- Mixed Roots LLC's practice location on file with NPPES is 6300 Creedmoor Rd Ste 118, Raleigh, NC 27612-6730.
- What is Mixed Roots LLC's phone number?
- The practice phone number listed in the NPPES registry for Mixed Roots LLC is (919) 720-4080.
- Who is the authorized official for Mixed Roots LLC?
- The authorized official listed on Mixed Roots LLC's NPPES record is Patricia Mccray, Salon Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mixed Roots LLC's NPI active?
- Yes — Mixed Roots LLC's NPI (1962263871) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.