Organization Active NPI

Beauty Venom Hair Loss Center

  • Prosthetics Case Management
  • Las Vegas, NV
National Provider Identifier
1093153264
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
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

Updated by the provider on Apr 22, 2016

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)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.