Organization Active NPI

Luxtresses Cranial Wigs Inc

  • Prosthetic/Orthotic Supplier
  • Jackson Heights, NY
National Provider Identifier
1194473207
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LUXTRESSES CRANIAL WIGS INC
Practice address
3328 73Rd St
Jackson Heights, NY 11372-1140
Phone
(929) 210-4158
Fax
(240) 213-0889
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Keisha Page
Title
President
Phone
(929) 210-4158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3328 73Rd St
Jackson Heights, NY 11372-1140

Mailing address

3811 Ditmas Blvd
#2197
Astoria, NY 11105
Phone (929) 210-4158

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1194473207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 DITMAS BLVD",
            "address_2": "#2197",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "929-210-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 73RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721140",
            "telephone_number": "929-210-4158",
            "fax_number": "240-213-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXTRESSES CRANIAL WIGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-210-4158"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.