Judah

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

JUDAH

Doing business as

Hair Envy Cranial Prothesis

Practice address

2975 Waterchase Way SW Suite 307
Wyoming, MI 49519

Phone

(616) 643-3848

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Doretha Bessemer

Title

Owner

Phone

(616) 643-3848

Specialties & licenses 1

Addresses

Other names 1

• Hair Envy Cranial Prothesis Doing business as

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1881940203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 WATERCHASE WAY SW SUITE 307",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 WATERCHASE WAY SW SUITE 307",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-643-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "BESSEMER",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-643-3848",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hair Envy Cranial Prothesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha J Jones, PHARM.D.
• Alexis Jonker
• Tony Taeun Joo, D.O.
• Victoria Jousma, LLMSW
• Shayna Joyner
• Peter Earl David Kaczkofsky, DO
• Kaczmarski Hearing Services, Inc
• Rebecca Ann Kaczmarski, AU.D.
• Kristine L Kading, CTRS, ATRIC
• Haley Kadzban

• Customized Equipment (DME) in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.