Organization Active NPI

Natural Tresses LLC

  • Customized Equipment (DME)
  • Appleton, WI
National Provider Identifier
1124356993
Registry record updated Dec 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
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

Updated by the provider on Dec 5, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.