Organization Active NPI

Hair by Kola LLC

  • Prosthetic/Orthotic Supplier
  • Knightdale, NC
National Provider Identifier
1043816077
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HAIR BY KOLA LLC
Practice address
102 Flowers St Ste a
Knightdale, NC 27545-7832
Phone
(919) 349-4231
NPI assigned
Dec 6, 2020
Last updated
Dec 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Authorized official

Name
Kayana D Henneghan
Title
Director
Phone
(919) 349-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

102 Flowers St Ste a
Knightdale, NC 27545-7832

Mailing address

1260 Sweetgrass St
Knightdale, NC 27545-8161

National Provider Directory

National Provider Directory

Locations

102 Flowers St
Ste A
Knightdale, NC 27545
Phone (919) 349-4231

NPI Registry JSON

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607212800000",
    "number": "1043816077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 SWEETGRASS ST",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275458161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FLOWERS ST STE A",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457832",
            "telephone_number": "919-349-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR BY KOLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A",
        "authorized_official_last_name": "HENNEGHAN",
        "authorized_official_first_name": "KAYANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-349-4231"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.