Hair Replacement Clinic

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

29647 Issued in KS

Legal business name

HAIR REPLACEMENT CLINIC

Doing business as

Derita Strong

Practice address

1815 S Windsor
Wichita, KS 67218

Phone

(316) 390-1280

NPI assigned

Aug 17, 2016

Organization subpart

Yes

Parent organization

HAIR REPLACEMENT CLINICAs reported in NPPES

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

Authorized official

Name

Derita Joh'Nay Strong, HAIR REPLACEMENT

Title

Specialist/Owner

Phone

(316) 390-1280

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Derita Strong Doing business as

Part of

Hair Replacement Clinic

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1770038937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 S WINDSOR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-390-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S WINDSOR",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67218",
            "telephone_number": "316-390-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR REPLACEMENT CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAIR REPLACEMENT CLINIC",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "DERITA",
        "authorized_official_middle_name": "JOH'NAY",
        "authorized_official_title_or_position": "SPECIALIST/OWNER",
        "authorized_official_telephone_number": "316-390-1280",
        "authorized_official_credential": "HAIR REPLACEMENT"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "KS",
            "license": "29647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9860",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derita Strong",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dustin R Hague, DC
• Melissa Hague, MD
• Taylor Haig, LMSW
• Cristine Lynn Hailey
• Valentina Hain, APRN
• Brian Hakala, M.D.
• Alice Chiedzo Hakata, PT. MED.
• Beth A Hake, T-LMFT
• Jennifer J Halabi, M.D.
• Sandra Halbrook, LMFT

• Prosthetics Case Management in Wichita, KS
• Providers in Wichita, KS by specialty
• Prosthetics Case Management in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.