Organization Active NPI

L S

  • Prosthetic/Orthotic Supplier
  • Duncanville, TX
National Provider Identifier
1457031858
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
L S
Practice address
111 Cedar Ridge Dr
Suite 101 Room 12
Duncanville, TX 75116
Phone
(646) 983-5926
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Lashonnda L Spence, COSMETOLOGIST
Title
Owner
Phone
(469) 835-9926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic FitterGroup: 193400000X SINGLE SPECIALTY GROUP 225000000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

111 Cedar Ridge Dr
Suite 101 Room 12
Duncanville, TX 75116

Mailing address

933 Trailwood Dr
Desoto, TX 75115-5546
Phone (469) 835-9926

Other names 1

  • LaTrice Stylez Other name

National Provider Directory

National Provider Directory

Locations

111 S Cedar Ridge Dr
Ste 101
Duncanville, TX 75116
Phone (469) 835-9266

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1457031858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 TRAILWOOD DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155546",
            "telephone_number": "469-835-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CEDAR RIDGE DR",
            "address_2": "SUITE 101 ROOM 12",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75116",
            "telephone_number": "646-983-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L S",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "LASHONNDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-835-9926",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaTrice Stylez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.