Active NPI
Luxtresses Cranial Wigs Inc
- Prosthetic/Orthotic Supplier
- Jackson Heights, NY
National Provider Identifier
1194473207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.