Active NPI
J'S 42ND Trend Hair Restoration Stu
- Prosthetics Case Management
- Raleigh, NC
National Provider Identifier
1417864935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 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.