Active NPI
Natural Tresses LLC
- Customized Equipment (DME)
- Appleton, WI
National Provider Identifier
1124356993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- NATURAL TRESSES LLC
- Practice address
- 2011 N Richmond St
Appleton, WI 54911-2771 - Phone
- (920) 268-5267
- Fax
- (920) 358-5419
- NPI assigned
- Dec 5, 2009
- 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
- Mr. Montreal C. Glosson
- Title
- Owner
- Phone
- (920) 257-6806
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
2011 N Richmond St
Appleton, WI 54911-2771
Mailing address
PO Box 603
Appleton, WI 54912-0603
Phone (920) 268-5267
National Provider Directory
National Provider DirectoryLocations
2011 N Richmond St
Appleton, WI 54911
Phone (920) 268-5267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259971200000",
"number": "1124356993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603",
"city": "APPLETON",
"state": "WI",
"postal_code": "549120603",
"telephone_number": "920-268-5267",
"fax_number": "920-358-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 N RICHMOND ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549112771",
"telephone_number": "920-268-5267",
"fax_number": "920-358-5419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURAL TRESSES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-05",
"last_updated": "2009-12-05",
"status": "A",
"authorized_official_last_name": "GLOSSON",
"authorized_official_first_name": "MONTREAL",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-257-6806",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.