Medical Wigs & Hair Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MEDICAL WIGS & HAIR PROSTHETICS

Practice address

28860 Southfield Rd Ste 102
Lathrup Village, MI 48076-2726

Phone

(818) 664-5898

NPI assigned

Jan 26, 2026

Organization subpart

No

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

Authorized official

Name

Breanne Collins

Title

Owner

Phone

(818) 664-5898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1508715350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28860 SOUTHFIELD RD STE 102",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762726",
            "telephone_number": "818-664-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28860 SOUTHFIELD RD STE 102",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480762726",
            "telephone_number": "818-664-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WIGS & HAIR PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "BREANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-664-5898"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Lathrup Village, MI
• Providers in Lathrup Village, 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 Jan 26, 2026; 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.