NPIMap

Organization Active NPI

The London Knot Wig Boutique

  • Durable Medical Equipment & Medical Supplies
  • Capitol Heights, MD
National Provider Identifier
1568049138
Registry record updated Mar 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE LONDON KNOT WIG BOUTIQUE
Practice address
6957 Aquamarine CT
Capitol Heights, MD 20743-1879
Phone
(301) 792-4607
NPI assigned
Mar 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2021

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

Authorized official

Name
Kierra Lashae RoysterNPI 1619517851
Title
Admin Director
Phone
(301) 792-4607

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

6957 Aquamarine CT
Capitol Heights, MD 20743-1879

Mailing address

6957 Aquamarine CT
Capitol Heights, MD 20743-1879
Phone (301) 792-4607

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.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616889600000",
    "number": "1568049138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 AQUAMARINE CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431879",
            "telephone_number": "301-792-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6957 AQUAMARINE CT",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207431879",
            "telephone_number": "301-792-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LONDON KNOT WIG BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-28",
        "last_updated": "2021-03-28",
        "certification_date": "2021-03-28",
        "status": "A",
        "authorized_official_last_name": "ROYSTER",
        "authorized_official_first_name": "KIERRA",
        "authorized_official_middle_name": "LASHAE",
        "authorized_official_title_or_position": "ADMIN DIRECTOR",
        "authorized_official_telephone_number": "301-792-4607"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitol Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2021; 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.