Xclusive Clozure LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

XCLUSIVE CLOZURE LLC

Practice address

4752 Fishburg Rd Ste C
Dayton, OH 45424-5455

Phone

(937) 219-5012

NPI assigned

Jul 16, 2024

Last updated

Jul 16, 2024By 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

Kiona Davis

Title

Wigmaker

Phone

(937) 219-5012

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1710725791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 FISHBURG RD STE C",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245455",
            "telephone_number": "937-219-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4752 FISHBURG RD STE C",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245455",
            "telephone_number": "937-219-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCLUSIVE CLOZURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIONA",
        "authorized_official_title_or_position": "WIGMAKER",
        "authorized_official_telephone_number": "937-219-5012"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "937-219-5012",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "4752 Fishburg Rd Ste C",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454245455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mindibeth D Wynne
• Thalia Wynne
• Rebekah Ju Wyse
• Nadine Wysinger, CDCA
• Jennifer Lynne Wysong
• Linlin Xiao, APRN-CNP
• Nick Xie, DDS
• Anika Yadav, MD
• Courtney Ann Yahle
• Natalie N Yahle, D.C.

• Prosthetic/Orthotic Supplier in Dayton, OH
• Providers in Dayton, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.