Active NPI
Wig Paradise
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1508411687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WIG PARADISE
- Practice address
- 118 Wynnewood Village SHP Ctr
Dallas, TX 75224-1825 - Phone
- (214) 941-7959
- NPI assigned
- Aug 6, 2019
- 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
- Sujin Jang
- Title
- President
- Phone
- (214) 941-7959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
118 Wynnewood Village SHP Ctr
Dallas, TX 75224-1825
Mailing address
118 Wynnewood Village SHP Ctr
Dallas, TX 75224-1825
National Provider Directory
National Provider DirectoryLocations
118 Wynnewood Vlg Shp Ctr
Dallas, TX 75224
Phone (214) 941-7959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567987200000",
"number": "1508411687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WYNNEWOOD VILLAGE SHP CTR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752241825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 WYNNEWOOD VILLAGE SHP CTR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752241825",
"telephone_number": "214-941-7959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIG PARADISE",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-09-09",
"status": "A",
"authorized_official_last_name": "JANG",
"authorized_official_first_name": "SUJIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-941-7959"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.