Organization Active NPI

Miracle Hair Studio Inc

  • Prosthetics Case Management
  • Oakland, CA
National Provider Identifier
1720882707
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
MIRACLE HAIR STUDIO INC
Practice address
2633 Telegraph Ave Ste 107
Oakland, CA 94612-1744
Phone
(510) 827-5885
Fax
(510) 663-1200
NPI assigned
Apr 1, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Nichelle WashingtonNPI 1124731880
Title
Owner
Phone
(510) 827-5885

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
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

2633 Telegraph Ave Ste 107
Oakland, CA 94612-1744

Mailing address

2633 Telegraph Ave Ste 107
Oakland, CA 94612-1744
Phone (510) 827-5885

National Provider Directory

National Provider Directory

Locations

2633 Telegraph Ave
Ste 107
Oakland, CA 94612
Phone (510) 663-1200

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": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1720882707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 TELEGRAPH AVE STE 107",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121744",
            "telephone_number": "510-827-5885",
            "fax_number": "510-663-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 TELEGRAPH AVE STE 107",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121744",
            "telephone_number": "510-827-5885",
            "fax_number": "510-663-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE HAIR STUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-827-5885"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.