Untangled Medical Wigs

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

UNTANGLED MEDICAL WIGS

Practice address

23059 Coolidge Hwy
Oak Park, MI 48237-2071

Phone

(586) 453-9134

NPI assigned

Jul 18, 2023

Organization subpart

No

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

Authorized official

Name

Shannon WashingtonNPI 1063197465

Title

Owner

Phone

(586) 453-9134

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shannon Washington

  • Prosthetic/Orthotic Supplier
  • Oak Park, MI
  • NPI 1063197465
  NPD Authorized official

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1487333274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23059 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372071",
            "telephone_number": "586-453-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23059 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372071",
            "telephone_number": "586-453-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTANGLED MEDICAL WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-453-9134"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Physical Therapy LLC
• United Urgent Care Group
• Universal Medical Equipment & Supplies Co.
• Universal Medical Equipment & Supplies,Inc.
• Universal Medical Group P.C.
• US Health Pharmaceuticals
• V & R Drugs Inc
• Valana Health Care
• Vap Professionals LLC
• Rajendra Prasad Vavilala, RPH

• Prosthetic/Orthotic Supplier in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.