Active NPI
Medical Wig Specialist LLC
- Prosthetic/Orthotic Supplier
- Millcreek, UT
National Provider Identifier
1306750021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MEDICAL WIG SPECIALIST LLC
- Practice address
- 2056 E 3300 S
Millcreek, UT 84109-2665 - Phone
- (385) 202-4622
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 30, 2026
- 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
- Tenita Parker
- Title
- Owner
- Phone
- (661) 714-4665
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
2056 E 3300 S
Millcreek, UT 84109-2665
Mailing address
2056 E 3300 S
Millcreek, UT 84109-2665
Phone (661) 714-4665
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthetic/Orthotic Supplier
- Salt Lake City, UT
- NPI 1548174253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1306750021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2056 E 3300 S",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841092665",
"telephone_number": "661-714-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2056 E 3300 S",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841092665",
"telephone_number": "385-202-4622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL WIG SPECIALIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "TENITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-714-4665"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millcreek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.