Active NPI
Reedsignz Salon Co
- Prosthetics Case Management
- Fort Worth, TX
National Provider Identifier
1669988960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Legal business name
- REEDSIGNZ SALON CO
- Practice address
- 4256 Lorin Ave
Fort Worth, TX 76105-4216 - Phone
- (817) 505-5072
- NPI assigned
- Dec 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lashundra Johnson, CERTIFIED HAIR LOSS
- Title
- President
- Phone
- (817) 505-5072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | Primary |
Addresses
Primary practice location
4256 Lorin Ave
Fort Worth, TX 76105-4216
Mailing address
4256 Lorin Ave
Fort Worth, TX 76105-4216
Phone (817) 505-5072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46-5332172 | Other | TX | TAXPAYER IDENTIFICATION NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1669988960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4256 LORIN AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761054216",
"telephone_number": "817-505-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4256 LORIN AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761054216",
"telephone_number": "817-505-5072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REEDSIGNZ SALON CO",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-21",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LASHUNDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-505-5072",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CERTIFIED HAIR LOSS"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXPAYER IDENTIFICATION NUMBER",
"identifier": "46-5332172",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.