New Beginnings Derma Spa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEW BEGINNINGS DERMA SPA

Practice address

43630 Hayes Rd
Suite 240
Clinton Township, MI 48038-3545

Phone

(586) 226-1622

Fax

(586) 226-1610

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Athina Oraha

Title

Director

Phone

(586) 226-1622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043423148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43630 HAYES RD",
            "address_2": "SUITE 240",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383545",
            "telephone_number": "586-226-1622",
            "fax_number": "586-226-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43630 HAYES RD",
            "address_2": "SUITE 240",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383545",
            "telephone_number": "586-226-1622",
            "fax_number": "586-226-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS DERMA SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORAHA",
        "authorized_official_first_name": "ATHINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-226-1622"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.