Bca Medical Wigs

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

BCA MEDICAL WIGS

Practice address

1513 Choctaw Ave
Metairie, LA 70005-1231

Phone

(769) 257-1002

NPI assigned

Mar 11, 2022

Organization subpart

Yes

Parent organization

BEAUTY CAMO AESTHETICS, LLCAs reported in NPPES

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

Authorized official

Name

Sheryl Fairley

Title

Ceo

Phone

(769) 257-1002

Specialties & licenses 3

Addresses

Electronic endpoints 1

Part of

Bca Medical Wigs

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1255089991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 CHOCTAW AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051231",
            "telephone_number": "769-257-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CHOCTAW AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700051231",
            "telephone_number": "769-257-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5240 Medhurst Pl",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392063114",
            "country_code": "US",
            "telephone_number": "769-257-1002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BCA MEDICAL WIGS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAUTY CAMO AESTHETICS, LLC",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "FAIRLEY",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "769-257-1002"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "504-332-8202",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1513 Choctaw Ave",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700051231",
            "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 Mar 11, 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.