Active NPI
It'S Magic Moments Lingerie
- Prosthetic/Orthotic Supplier
- Desoto, TX
National Provider Identifier
1073879599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- IT'S MAGIC MOMENTS LINGERIE
- Practice address
- 231 E Belt Line Rd
BLDG. 2, Suite 5
Desoto, TX 75115-5776 - Phone
- (469) 685-5577
- NPI assigned
- Apr 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rossland Reshell Dawn-Darnell, LVN
- Title
- Owner/ Operator
- Phone
- (469) 685-5577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
231 E Belt Line Rd
BLDG. 2, Suite 5
Desoto, TX 75115-5776
Mailing address
500 Rolling Hills PL
Apt. 2006
Lancaster, TX 75146-1027
Phone (469) 685-5577
National Provider Directory
National Provider DirectoryLocations
231 E Belt Line Rd
Ste 5
Desoto, TX 75115
Phone (469) 685-5577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1073879599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ROLLING HILLS PL",
"address_2": "APT. 2006",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461027",
"telephone_number": "469-685-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E BELT LINE RD",
"address_2": "BLDG. 2, SUITE 5",
"city": "DESOTO",
"state": "TX",
"postal_code": "751155776",
"telephone_number": "469-685-5577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IT'S MAGIC MOMENTS LINGERIE",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "DAWN-DARNELL",
"authorized_official_first_name": "ROSSLAND",
"authorized_official_middle_name": "RESHELL",
"authorized_official_title_or_position": "OWNER/ OPERATOR",
"authorized_official_telephone_number": "469-685-5577",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LVN"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.