Trident Core LLC

Primary specialty

NaprapathTaxonomy code 172P00000X

Legal business name

TRIDENT CORE LLC

Doing business as

Luxxe Hair and Med Spa

Practice address

524 W Cordova Rd
Santa Fe, NM 87505-1822

Phone

(505) 216-1152

NPI assigned

Dec 10, 2019

Last updated

Dec 10, 2019By 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

April Bancroft

Title

Manager

Phone

(505) 216-1152

Specialties & licenses 1

Addresses

Other names 1

• Luxxe Hair and Med Spa Doing business as

Locations

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1063059947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W CORDOVA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051822",
            "telephone_number": "505-216-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W CORDOVA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051822",
            "telephone_number": "505-216-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT CORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "BANCROFT",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-216-1152"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxxe Hair and Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Naprapath in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Naprapath in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.