Amazing Wig Closet

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

AMAZING WIG CLOSET

Practice address

409 W Front St Ste 100-306
Hutto, TX 78634-4204

Phone

(512) 843-9992

Fax

(844) 205-9447

NPI assigned

Jun 20, 2020

Last updated

Jun 20, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystal Robinson

Title

Owner

Phone

(512) 843-9992

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592611200000",
    "number": "1083230502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W FRONT ST STE 100-306",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344204",
            "telephone_number": "512-843-9992",
            "fax_number": "844-205-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W FRONT ST STE 100-306",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786344204",
            "telephone_number": "512-843-9992",
            "fax_number": "844-205-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING WIG CLOSET",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-20",
        "certification_date": "2020-06-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-843-9992"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8442059447",
            "affiliation": "N",
            "endpointDescription": "Fax#",
            "address_1": "409 W Front St Ste 100-306",
            "city": "Hutto",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786344204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.