NPIMap

Organization Active NPI

Aesthetic Extensions

  • Prosthetist
  • Lawton, OK
National Provider Identifier
1710816962
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
AESTHETIC EXTENSIONS
Practice address
1320 NW Homestead Dr Ste E
Lawton, OK 73505-5243
Phone
(804) 502-1140
NPI assigned
May 14, 2026
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Brianna JohnsonNPI 1336935501
Title
Owner
Phone
(804) 502-1140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X NU Primary

Addresses

Primary practice location

1320 NW Homestead Dr Ste E
Lawton, OK 73505-5243

Mailing address

3872B Sandoval Rd
Fort Sill, OK 73503-4606
Phone (804) 502-1140

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1710816962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872B SANDOVAL RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034606",
            "telephone_number": "804-502-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW HOMESTEAD DR STE E",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055243",
            "telephone_number": "804-502-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC EXTENSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-502-1140"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.