Greg Jockel Hair Designers, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

CB089234L Issued in PA

Legal business name

GREG JOCKEL HAIR DESIGNERS, INC.

Doing business as

greg jockel hair colour design

Practice address

12041 Perry Hwy
Wexford, PA 15090-8394

Phone

(724) 934-0211

NPI assigned

Sep 12, 2013

Last updated

Sep 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greg Jockel

Title

President

Phone

(724) 934-0211

Specialties & licenses 1

Addresses

Other names 1

• greg jockel hair colour design Doing business as

Locations

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1043645724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908394",
            "telephone_number": "724-934-0211",
            "fax_number": "724-935-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12041 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908394",
            "telephone_number": "724-934-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG JOCKEL HAIR DESIGNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "JOCKEL",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-934-0211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "CB089234L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "greg jockel hair colour design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.