The Wig Shoppe

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

THE WIG SHOPPE

Practice address

8005 Church St E
Brentwood, TN 37027-5278

Phone

(615) 891-1417

Fax

(615) 891-1418

NPI assigned

Jul 30, 2009

Last updated

Jul 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather TimbarioNPI 1649414988

Title

Owner

Phone

(615) 891-1417

Specialties & licenses 1

Addresses

Locations

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.

• Heather L Timbario

  • Anaplastologist
  • Brentwood, TN
  • NPI 1649414988
  NPD (past) Authorized official

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1639300254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 CHURCH ST E",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275278",
            "telephone_number": "615-891-1417",
            "fax_number": "615-891-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 CHURCH ST E",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275278",
            "telephone_number": "615-891-1417",
            "fax_number": "615-891-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIG SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "TIMBARIO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-891-1417"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lindsey Thelen
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• Prosthetic/Orthotic Supplier in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; 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.