Organization Active NPI

J'S 42ND Trend Hair Restoration Stu

  • Prosthetics Case Management
  • Raleigh, NC
National Provider Identifier
1417864935
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
J'S 42ND TREND HAIR RESTORATION STU
Practice address
8408 Six Forks Rd
Raleigh, NC 27615-3076
Phone
(301) 633-0510
NPI assigned
Aug 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Mr. Amos Jordan Jr. Jr.
Title
Cranial Prosthesis Medical Wig/ Hai
Phone
(301) 633-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

8408 Six Forks Rd
Raleigh, NC 27615-3076

Mailing address

1110 Cannonball Run Apt 206
Knightdale, NC 27545-6655
Phone (301) 633-0510

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1417864935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CANNONBALL RUN APT 206",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456655",
            "telephone_number": "301-633-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 SIX FORKS RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153076",
            "telephone_number": "301-633-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J'S 42ND TREND HAIR RESTORATION STU",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "JORDAN JR.",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS MEDICAL WIG/ HAI",
        "authorized_official_telephone_number": "301-633-0510",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.