Beautifulll Wigs, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BEAUTIFULLL WIGS, LLC

Practice address

1700 Northside Dr NW Ste A7
Atlanta, GA 30318-2695

Phone

(404) 904-8731

NPI assigned

May 18, 2021

Organization subpart

No

Name

Ashley Elliott

Title

Owner

Phone

(404) 904-8731

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2021.

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1174197834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 FAIRBURN RD SW APT 5333",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318560",
            "telephone_number": "404-904-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORTHSIDE DR NW STE A7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182695",
            "telephone_number": "404-904-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFULLL WIGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-904-8731"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4048092095",
            "affiliation": "N",
            "endpointDescription": "Fax Machine",
            "address_1": "1700 Northside Dr NW Ste A7",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303182695",
            "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 May 18, 2021; 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.