Whboutique Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1000223 Issued in TX

Legal business name

WHBOUTIQUE INC.

Doing business as

Women's Health Boutique

Practice address

8499 Greenville Ave Ste 105
Dallas, TX 75231-2417

Phone

(214) 373-1045

Fax

(214) 221-9282

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Vicki D Jones

Title

Owner

Phone

(214) 373-1045

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Women's Health Boutique Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
  • NPI 1013268747

  9032347679

  Same PAC ID
• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Longview, TX
  • NPI 1033284435

  9032347679

  Same PAC ID
• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1164770335

  9032347679

  Same PAC ID
• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
  • NPI 1780086371

  9032347679

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Whboutique Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Plano, TX
  • NPI 1013268747
  NPD tax ID
• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Longview, TX
  • NPI 1033284435
  NPD tax ID
• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1164770335
  NPD tax ID
• Whboutique Inc.

  dba Women's Health Boutique

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
  • NPI 1780086371
  NPD tax ID

Locations

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1396078507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016606",
            "telephone_number": "903-758-9904",
            "fax_number": "903-236-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8499 GREENVILLE AVE STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312417",
            "telephone_number": "214-373-1045",
            "fax_number": "214-221-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHBOUTIQUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-373-1045"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330102003-CSN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "533245",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330102001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Boutique",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Women's Health Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krysten Ashlee Whaling, PA-C
• Stephen Whang
• George W. Wharton, M.D.
• Louis Daniel Whatley, LPC
• Whboutique Inc. (Women's Health Boutique)
• WHC DFW, LLC (zTrip)
• Wheatland Inpatient Services
• Jordan Wheatley
• Kristin Ashley Wheaton-Ray, AGACNP-BC
• Patricia Cheryl Wheelahan, M.D.

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.