NPIMap

Organization Active NPI

Inner City Bleus Classic Cutz

  • Prosthetist
  • Detroit, MI
National Provider Identifier
1003578113
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
INNER CITY BLEUS CLASSIC CUTZ
Practice address
5220 E 7 Mile Rd
Detroit, MI 48234-2358
Phone
(313) 717-8952
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Deyonta Newsome, HAIR LOSS SPECIALIST
Title
Certified Hair Loss Specialist
Phone
(313) 475-8380

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1744P3200X
ProsthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

5220 E 7 Mile Rd
Detroit, MI 48234-2358

Mailing address

PO Box 554
Warren, MI 48090-0554
Phone (313) 717-8952

National Provider Directory

National Provider Directory
Tax ID family
Inner City Bleu's Classic Cutz3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1003578113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 554",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480900554",
            "telephone_number": "313-717-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 E 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482342358",
            "telephone_number": "313-717-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER CITY BLEUS CLASSIC CUTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "DEYONTA",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "313-475-8380",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.