Mahogany Faye Porter

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1776906 Issued in TX

Practice address

2900 Canton St
Dallas, TX 75226-1792

Phone

(469) 922-3181

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Layerz Salon & Spas LLC

  • Prosthetist
  • Dallas, TX
  • NPI 1336917046
  NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1578282877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CANTON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261792",
            "telephone_number": "469-922-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CANTON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261792",
            "telephone_number": "469-922-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MAHOGANY",
        "middle_name": "FAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1776906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "msoleviahaircare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Cranial Prostheses and Dermatology Information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2900 Canton St",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752261792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• J'Briel Elizabeth Porter, LPC
• Johnny Wayne Porter, R.PH.
• Keanna Porter
• Lapatria R. Porter, LCSW
• Leslie Dean Porter, M.D.
• Megan Yvette Porter
• Randy Porter, LMFT
• Scott A Porter, M.D.
• Warren Curt Porter
• Robyn Porterfield, PHD

• Prosthetist in Dallas, TX
• Providers in Dallas, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.