Aesthetic Luxury Spa LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AESTHETIC LUXURY SPA LLC

Practice address

2301 Troost Ave
Ste 101
Kansas City, MO 64108

Phone

(816) 200-2409

Fax

(816) 320-0028

NPI assigned

Dec 22, 2023

Organization subpart

Yes

Parent organization

AESTHETIC LUXURY SPA LLCAs reported in NPPES

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

Authorized official

Name

Christophe Alexander, DO

Title

DO

Phone

(816) 200-2409

Specialties & licenses 4

Addresses

Other names 2

• AESTHETIC LUXURY SPA Doing business as
• AESTHETIC LUXURY SPA LLC Doing business as

Part of

Aesthetic Luxury Spa LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Aesthetic Luxury Spa LLC

  • Clinical Laboratory Director (Non-physician)
  • Kansas City, MO
  • NPI 1518611904
  NPPES parent name

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1043089733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TROOST AVE",
            "address_2": "STE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64108",
            "telephone_number": "816-200-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TROOST AVE",
            "address_2": "STE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64108",
            "telephone_number": "816-200-2409",
            "fax_number": "816-320-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 SW Ward Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640812448",
            "country_code": "US",
            "telephone_number": "816-200-2409",
            "fax_number": "816-320-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AESTHETIC LUXURY SPA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AESTHETIC LUXURY SPA LLC",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "CHRISTOPHE",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "816-200-2409",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AESTHETIC LUXURY SPA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AESTHETIC LUXURY SPA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AESTHETIC LUXURY SPA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.