The Wig Doctor

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THE WIG DOCTOR

Practice address

115 Glacier LN
Cedar Hill, TX 75104-1364

Phone

(214) 622-8328

Fax

(972) 291-8002

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla Harvey Deason

Title

Director

Phone

(214) 622-8328

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Harvey Deason

  • Prosthetic/Orthotic Supplier
  • Cedar Hill, TX
  • NPI 1497996276
  NPD (past)

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1447499116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GLACIER LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041364",
            "telephone_number": "214-622-8328",
            "fax_number": "972-291-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GLACIER LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041364",
            "telephone_number": "214-622-8328",
            "fax_number": "972-291-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIG DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "DEASON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-622-8328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.