Organization Active NPI

Queen M Beauty Supplies

  • Prosthetics Case Management
  • Fayetteville, NC
National Provider Identifier
1992423040
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
QUEEN M BEAUTY SUPPLIES
Doing business as
Makiyas Wig Studio
Practice address
6900 Cliffdale Rd Ste 107
Fayetteville, NC 28314-2872
Phone
(910) 568-3105
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Makiya RichardsonNPI 1790467827
Title
Director
Phone
(910) 568-3105

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 ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

6900 Cliffdale Rd Ste 107
Fayetteville, NC 28314-2872

Mailing address

6900 Cliffdale Rd Ste 107
Fayetteville, NC 28314-2872
Phone (910) 568-3105

Other names 1

  • Makiyas Wig Studio Doing business as

National Provider Directory

National Provider Directory

Locations

6900 Cliffdale Rd
Ste 107
Fayetteville, NC 28314
Phone (910) 568-3105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1992423040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 CLIFFDALE RD STE 107",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142872",
            "telephone_number": "910-568-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 CLIFFDALE RD STE 107",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142872",
            "telephone_number": "910-568-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN M BEAUTY SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MAKIYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-568-3105"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Makiyas Wig Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 16, 2022; 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.