Organization Active NPI

McGlothlin Wig Company

  • Prosthetic/Orthotic Supplier
  • Bristol, VA
National Provider Identifier
1467607606
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MCGLOTHLIN WIG COMPANY
Practice address
525 State St
Bristol, VA 24201-4314
Phone
(276) 669-1650
Fax
(276) 466-1787
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Jesse R McGlothlin
Title
Owner
Phone
(276) 669-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

525 State St
Bristol, VA 24201-4314

Mailing address

525 State St
Bristol, VA 24201-4314
Phone (276) 669-1650

National Provider Directory

National Provider Directory

Locations

525 State St
Bristol, VA 24201
Phone (276) 669-1650

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1467607606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 STATE ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014314",
            "telephone_number": "276-669-1650",
            "fax_number": "276-466-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 STATE ST",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014314",
            "telephone_number": "276-669-1650",
            "fax_number": "276-466-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGLOTHLIN WIG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "MCGLOTHLIN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-669-1650"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.