Organization Active NPI

Perruque Boutique

  • Prosthetic/Orthotic Supplier
  • Fayetteville, NC
National Provider Identifier
1952962193
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PERRUQUE BOUTIQUE
Practice address
3037F Boone Trail Ext Ste 2
Fayetteville, NC 28304-3805
Phone
(910) 758-8644
Fax
(910) 758-8666
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Ms. Joann Yost
Title
Owner
Phone
(910) 758-8644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3037F Boone Trail Ext Ste 2
Fayetteville, NC 28304-3805

Mailing address

3037F Boone Trail Ext Ste 2
Fayetteville, NC 28304-3805
Phone (910) 758-8644

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1952962193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037F BOONE TRAIL EXT STE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043805",
            "telephone_number": "910-758-8644",
            "fax_number": "910-758-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037F BOONE TRAIL EXT STE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043805",
            "telephone_number": "910-758-8644",
            "fax_number": "910-758-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRUQUE BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-758-8644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.