Organization Active NPI

Restoration Salon and Spa

  • Point of Service
  • Depew, NY
National Provider Identifier
1003350349
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
026746
Legal business name
RESTORATION SALON AND SPA
Practice address
425 French Road
Depew, NY 14043
Phone
(716) 288-9326
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Mrs. Kendrall Fentner
Title
Salon Owner
Phone
(716) 288-9326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 026746 Primary

Addresses

Primary practice location

425 French Road
Depew, NY 14043

Mailing address

425 French Rd
Depew, NY 14043-2239
Phone (716) 288-9326

National Provider Directory

National Provider Directory

Locations

425 French Rd
Depew, NY 14043
Phone (716) 288-9326

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1003350349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FRENCH RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432239",
            "telephone_number": "716-288-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 FRENCH ROAD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "14043",
            "telephone_number": "716-288-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION SALON AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "FENTNER",
        "authorized_official_first_name": "KENDRALL",
        "authorized_official_title_or_position": "SALON OWNER",
        "authorized_official_telephone_number": "716-288-9326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": "026746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.