Doris W Meng Bra Boutique

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

C07011400034776 Issued in NV

Legal business name

DORIS W MENG BRA BOUTIQUE

Doing business as

dba Bra Boutique

Practice address

2375 S Jones Blvd
Suite 14
Las Vegas, NV 89146-3169

Phone

(702) 362-1579

Fax

(702) 368-4609

NPI assigned

Nov 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Doris West Meng

Title

Owner

Phone

(702) 362-1579

Specialties & licenses 1

Addresses

Other names 1

• dba Bra Boutique Doing business as

Locations

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1093960619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 S JONES BLVD",
            "address_2": "SUITE 14",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463169",
            "telephone_number": "702-362-1579",
            "fax_number": "702-368-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 S JONES BLVD",
            "address_2": "SUITE 14",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891463169",
            "telephone_number": "702-362-1579",
            "fax_number": "702-368-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORIS W MENG BRA BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "MENG",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-362-1579",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "C07011400034776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Bra Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Justin Aquino Doria
• Christopher Doria
• Mikhaela Aquino Doria
• Jason Hagop Dorian, DO
• Emily Dorin
• Doris Wong, O.D. & James F. Williamson, O.D., P.C. (Nevada Eye Care Optometry)
• Olga Dorlon, PA
• Larissa Lynn Dorman
• Jessica Dorn
• Lashanette D Dorn

• Customized Equipment (DME) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Customized Equipment (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.