Organization Active NPI

Mabeline Inc.

Doing business as Mabeline Wig Company

  • Durable Medical Equipment & Medical Supplies
  • Cedar Rapids, IA
National Provider Identifier
1245407998
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1-57-016146 Issued in IA
Legal business name
MABELINE INC.
Doing business as
Mabeline Wig Company
Practice address
3136 Mount Vernon Rd SE
Suite B
Cedar Rapids, IA 52403-3655
Phone
(319) 363-3391
Fax
(319) 364-8610
NPI assigned
May 13, 2008
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mr. Jeffrey Scott Abraham Sr.
Title
President
Phone
(319) 363-3391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1-57-016146 IA Primary

Addresses

Primary practice location

3136 Mount Vernon Rd SE
Suite B
Cedar Rapids, IA 52403-3655

Mailing address

3136 Mount Vernon Rd SE
Suite B
Cedar Rapids, IA 52403-3655
Phone (319) 363-3391

Other identifiers 1

IdentifierTypeStateIssuer
18351OtherIAWELLMARK BLUE CROSS BLUE SHIELD

Other names 1

  • Mabeline Wig Company Doing business as

National Provider Directory

National Provider Directory

Locations

3136 Mount Vernon Rd SE
Ste B
Cedar Rapids, IA 52403
Phone (319) 363-3391

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1245407998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 MOUNT VERNON RD SE",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033655",
            "telephone_number": "319-363-3391",
            "fax_number": "319-364-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 MOUNT VERNON RD SE",
            "address_2": "SUITE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033655",
            "telephone_number": "319-363-3391",
            "fax_number": "319-364-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABELINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-363-3391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1-57-016146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD",
            "identifier": "18351",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mabeline Wig Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.