Elegance Lace Wigs

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ELEGANCE LACE WIGS

Practice address

401 NC Highway 54 Apt B3
Carrboro, NC 27510-2103

Phone

(919) 672-7912

Fax

(772) 673-7912

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Tikisha Rogers

Title

Owner

Phone

(919) 672-7912

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1700104601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10032",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275150032",
            "telephone_number": "919-672-7912",
            "fax_number": "772-673-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NC HIGHWAY 54 APT B3",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102103",
            "telephone_number": "919-672-7912",
            "fax_number": "772-673-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANCE LACE WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TIKISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-672-7912"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.