NPIMap

Organization Active NPI

Woman's Glory Hair Replacement Center

  • Prosthetic/Orthotic Supplier
  • Waldorf, MD
National Provider Identifier
1548889546
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WOMAN'S GLORY HAIR REPLACEMENT CENTER
Practice address
929 Sloan Ave
Waldorf, MD 20602-2871
Phone
(301) 728-4769
NPI assigned
Apr 10, 2020
Last updated
Apr 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Shontese OliverNPI 1770149288
Title
Owner
Phone
(301) 728-4769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

929 Sloan Ave
Waldorf, MD 20602-2871

Mailing address

929 Sloan Ave
Waldorf, MD 20602-2871
Phone (301) 728-4769

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1548889546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SLOAN AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022871",
            "telephone_number": "301-728-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SLOAN AVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022871",
            "telephone_number": "301-728-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN'S GLORY HAIR REPLACEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "SHONTESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-728-4769"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.