THD Medical Hair Rejuvenation Clinic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THD MEDICAL HAIR REJUVENATION CLINIC

Practice address

9911 Jefferson Davis Hwy Ste 109
Fredericksburg, VA 22407-9423

Phone

(540) 607-7177

NPI assigned

Sep 23, 2021

Organization subpart

No

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

Authorized official

Name

Toya JacksonNPI 1366113953

Title

Owner

Phone

(540) 607-7177

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Toya Jackson, H.L.P.C

  • Durable Medical Equipment & Medical Supplies
  • Fredericksburg, VA
  • NPI 1366113953
  NPD Authorized official

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1407527039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9827 DOMINION FOREST CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224089509",
            "telephone_number": "540-607-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 JEFFERSON DAVIS HWY STE 109",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079423",
            "telephone_number": "540-607-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THD MEDICAL HAIR REJUVENATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TOYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-607-7177"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "12762402770",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "9911 Jefferson Davis Hwy Ste 109",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224079423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Testa, ATC, LAT, PES
• Anne Tetor, LPC
• Whitney Alphonsus Tetor, BCBA, LBA
• Janeen Renee Thalman, RPH
• Peter John Thaxter, PH.D.
• The Arc of Rappahannock, Inc.
• The Belonging, LLC
• The Center for Orthopedics, Inc.
• The Children's Clinic of Fredericksburg, PC
• The Golden Center LLC

• Prosthetic/Orthotic Supplier in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.