NPIMap

Organization Active NPI

Visage Studios, LLC

  • Anaplastologist
  • Bonne Terre, MO
National Provider Identifier
1023382116
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AnaplastologistTaxonomy code 229N00000X
Legal business name
VISAGE STUDIOS, LLC
Practice address
53 E Johnson St
Bonne Terre, MO 63628-1773
Phone
(314) 732-2658
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Amanda Behr
Title
Anaplastologist
Phone
(314) 732-2658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AnaplastologistGroup: 193400000X SINGLE SPECIALTY GROUP 229N00000X Primary

Addresses

Primary practice location

53 E Johnson St
Bonne Terre, MO 63628-1773

Mailing address

53 E Johnson St
Bonne Terre, MO 63628-1773
Phone (314) 732-2658

Other names 1

  • Visage Custom Prosthetics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1023382116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E JOHNSON ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281773",
            "telephone_number": "314-732-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E JOHNSON ST",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281773",
            "telephone_number": "314-732-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISAGE STUDIOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "BEHR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ANAPLASTOLOGIST",
        "authorized_official_telephone_number": "314-732-2658"
    },
    "taxonomies": [
        {
            "code": "229N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anaplastologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visage Custom Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonne Terre, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.