Organization Active NPI

A Womans Place Inc

  • Prosthetic/Orthotic Supplier
  • Naperville, IL
National Provider Identifier
1396949525
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
A WOMANS PLACE INC
Practice address
619 S Washington St
Naperville, IL 60540-6772
Phone
(630) 548-9346
Fax
(630) 548-9376
NPI assigned
Jun 12, 2007
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mrs. Belinda J Dust
Title
Owner President
Phone
(630) 548-9346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

619 S Washington St
Naperville, IL 60540-6772

Mailing address

619 S Washington St
Naperville, IL 60540-6772
Phone (630) 548-9346

Other identifiers 2

IdentifierTypeStateIssuer
2003875540AMedicaidIN
000000222495OtherINBLUE CROSS BLUE SHHEILD

National Provider Directory

National Provider Directory

Locations

2222 Maple Ave
Downers Grove, IL 60515
Phone (630) 548-9346

619 S Washington St
Naperville, IL 60540
Phone (630) 548-9346

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1396949525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406772",
            "telephone_number": "630-548-9346",
            "fax_number": "630-548-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406772",
            "telephone_number": "630-548-9346",
            "fax_number": "630-548-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WOMANS PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "DUST",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "630-548-9346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003875540A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHHEILD",
            "identifier": "000000222495",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.