D.D. DAUGHTERS LACE WIG BEAUTIQUE (NPI# 1205375706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205375706 |
| Entity Type | Organization |
| Organization Name | D.D. DAUGHTERS LACE WIG BEAUTIQUE |
| Practice Address |
424 W Chew Ave Salon, 1st Floor Philadelphia PA 19120-2356 |
| Practice Telephone | 2159242679 |
| Practice Fax Number | 2159242763 |
| Mailing Telephone | 2674539855 |
| Mailing Fax Number | 2159242763 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MS. MYISHA DAKETA MILLER (LICENSED COSMETOLOGIST/OWNER) |
| Authorized Official Telephone | 2159242679 |
| Authorized Official Credential | COSMETOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CB121409 | PA | Suppliers |
| Street Address |
424 W CHEW AVE SALON, 1ST FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19120-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364615 | Jane Clay Zakrzewski | Social Worker | Springfield Psychological, 1420 Walnut St. Suite 1500, Philadelphia, PA 19120 | 2019-03-12 |
| 1861964264 | Yi Ty Zhang | Nurse Practitioner | 101 E Olney Ave Ste C5, Philadelphia, PA 19120 | 2018-12-23 |
| 1447799770 | John Beecroft | Counselor | 4943 North 5th Street, Philadelphia, PA 19120 | 2017-02-20 |
| 1063869915 | Syed Naved Zahid | Dentist | 5675 Nth Front St., Philadelphia, PA 19120 | 2016-05-20 |
| 1447619838 | Danielle Green | Nurse Practitioner | 5846 North 4th St, Philadelphia, PA 19120 | 2016-02-15 |
| 1134544265 | Nt&t Corporation | Pharmacy | 439 West Chew Ave 1st F, Philadelphia, PA 19120 | 2014-02-26 |
| 1417234667 | Thomas Davis | Behavioral Analyst | 101 West Spencer Street, Philadelphia, PA 19120 | 2011-11-15 |
| 1619261682 | Advanced Family Dentistry, P.C. | Dentist | 6100-02 5th Street, Storefront, Philadelphia, PA 19120 | 2011-06-07 |
| 1346539061 | Capri N. Burt | Prosthetist | 5962 N. 3rd Street, Philadelphia, PA 19120 | 2011-04-04 |
| 1063719334 | James A. Brown | Prosthetist | 5962 N. 3rd St., Phila, PA 19120 | 2011-02-22 |
| Find all providers in zip 19120 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1487191862 | Northeast Orthotics Inc. | Prosthetic/Orthotic Supplier | 3223 N Broad St Ste 150, Philadelphia, PA 19140-5007 | 2017-01-24 |
| 1134482169 | Independence Prosthetics-orthotics, Inc. | Prosthetic/Orthotic Supplier | 1500 S Christopher Columbus Blvd, Floor 2, Philadelphia, PA 19147-5504 | 2012-06-25 |
| 1366681470 | Best Medical Supply, Inc. | Prosthetic/Orthotic Supplier | 13023 Bustleton Ave, Philadelphia, PA 19116-1672 | 2009-02-12 |
| 1932379765 | Cocco Enterprises Inc | Prosthetic/Orthotic Supplier | 2745 W. Passyunk Ave, Philadelphia, PA 19145-4012 | 2008-03-07 |
| 1942402003 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | Novacare Complex, Two Novacare Way, Philadelphia, PA 19145 | 2007-06-01 |
| 1831314822 | Lenny's Pedorthics & Orthopedics Inc. | Prosthetic/Orthotic Supplier | 256 S 10th St, Philadelphia, PA 19107-6776 | 2007-04-16 |
| 1134129166 | Harry J Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 8028 Frankford Ave, Philadelphia, PA 19136-2616 | 2005-08-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19120 |
Please comment or provide details below to improve the information on D.D. DAUGHTERS LACE WIG BEAUTIQUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.