Three Wishes, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000002345 Issued in TN

Legal business name

THREE WISHES, INC.

Practice address

1644 N Parkway
Jackson, TN 38301-3634

Phone

(731) 660-2739

Fax

(731) 660-1482

NPI assigned

Aug 5, 2007

Last updated

Jun 2, 2010By 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

Dennis William Karnes

Title

President

Phone

(760) 891-0418

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1154512218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 CRENSHAW BLVD",
            "address_2": "SUITE 128",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013300",
            "telephone_number": "800-535-3063",
            "fax_number": "800-270-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013634",
            "telephone_number": "731-660-2739",
            "fax_number": "731-660-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE WISHES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "KARNES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-891-0418"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000002345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582266",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; 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.