Active NPI
Beauty Venom Hair Loss Center
- Prosthetics Case Management
- Las Vegas, NV
National Provider Identifier
1093153264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Legal business name
- BEAUTY VENOM HAIR LOSS CENTER
- Practice address
- 7785 N Durango Dr
Suite 125
Las Vegas, NV 89131-8000 - Phone
- (702) 658-8866
- NPI assigned
- Jun 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Lyke, B.A.MGMT/ NTTI GRAD
- Title
- Certified Trichology Practictioner
- Phone
- (702) 807-1498
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | GA | Primary | |
| Prosthetic/Orthotic Supplier | 335E00000X | NV |
Addresses
Primary practice location
7785 N Durango Dr
Suite 125
Las Vegas, NV 89131-8000
Mailing address
7785 N Durango Dr
Suite 125
Las Vegas, NV 89131-8000
Phone (702) 658-8866
National Provider Directory
National Provider DirectoryLocations
7785 N Durango Dr
Ste 125
Las Vegas, NV 89131
Phone (702) 658-8866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461283200000",
"number": "1093153264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7785 N DURANGO DR",
"address_2": "SUITE 125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891318000",
"telephone_number": "702-658-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7785 N DURANGO DR",
"address_2": "SUITE 125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891318000",
"telephone_number": "702-658-8866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUTY VENOM HAIR LOSS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-11",
"last_updated": "2016-04-22",
"status": "A",
"authorized_official_last_name": "LYKE",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "CERTIFIED TRICHOLOGY PRACTICTIONER",
"authorized_official_telephone_number": "702-807-1498",
"authorized_official_credential": "B.A.MGMT/ NTTI GRAD"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NV",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.