Pure Med Spa Huntersville PLLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

2001-0037 Issued in NC

Legal business name

PURE MED SPA HUNTERSVILLE PLLC

Doing business as

Pure Facial Plastics

Practice address

10210 Hickorywood Hill Ave
Suite 100
Huntersville, NC 28078-3332

Phone

(704) 450-7563

Fax

(704) 288-4202

NPI assigned

Oct 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Briggs Edward Cook Jr., MD

Title

Owner/Physician

Phone

(704) 604-2950

Specialties & licenses 1

Addresses

Other names 1

• Pure Facial Plastics Doing business as

Locations

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1023445079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 HICKORYWOOD HILL AVE",
            "address_2": "SUITE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783332",
            "telephone_number": "704-450-7563",
            "fax_number": "704-288-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 HICKORYWOOD HILL AVE",
            "address_2": "SUITE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783332",
            "telephone_number": "704-450-7563",
            "fax_number": "704-288-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MED SPA HUNTERSVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BRIGGS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "704-604-2950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NC",
            "license": "2001-0037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Facial Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmologic Surgery Clinic/Center in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Ophthalmologic Surgery Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.