Organization Active NPI

Jazzy Braidz Salon LLC

  • Prosthetist
  • Mesa, AZ
National Provider Identifier
1003541426
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
JAZZY BRAIDZ SALON LLC
Practice address
1130 W University Dr Ste 109
Mesa, AZ 85201-5559
Phone
(623) 399-5093
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Jasmen Best
Title
Manager
Phone
(623) 399-5093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

1130 W University Dr Ste 109
Mesa, AZ 85201-5559

Mailing address

1130 W University Dr Ste 109
Mesa, AZ 85201-5559
Phone (623) 399-5093

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Vagaro Direct

National Provider Directory

National Provider Directory

Locations

1130 W University Dr
Ste 109
Mesa, AZ 85201
Phone (623) 399-5093

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1003541426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W UNIVERSITY DR STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015559",
            "telephone_number": "623-399-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W UNIVERSITY DR STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015559",
            "telephone_number": "623-399-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAZZY BRAIDZ SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "BEST",
        "authorized_official_first_name": "JASMEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-399-5093"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vagaro",
            "affiliation": "N",
            "endpointDescription": "Note Taking, Picture saving, Strategizing, Scheduing system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1130 W University Dr Ste 109",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852015559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.