Beauti' Den Crown Restoration Clinic

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BEAUTI' DEN CROWN RESTORATION CLINIC

Practice address

9850 S Maryland Pkwy # 503
Las Vegas, NV 89183-7146

Phone

(702) 351-0502

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Patti Pennington

Title

President

Phone

(702) 351-0502

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• Beauti Den Doing business as
• Beauti' Den Crown Restoration Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Pennington

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1609300011
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1104456557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 S MARYLAND PKWY # 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837146",
            "telephone_number": "702-351-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 S MARYLAND PKWY # 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837146",
            "telephone_number": "702-351-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTI' DEN CROWN RESTORATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-351-0502"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1609300011",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRANIAL PROTHESIS",
            "identifier": "1104456557",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauti Den",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beauti' Den Crown Restoration Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shameka Beaugard
• Yargey Beaujardin Cruz
• Kenneth James Beaulieu, LMHC
• Kirk James Beaulieu, RPH
• Samuel Anthony Beaumonte
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• Customized Equipment (DME) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Customized Equipment (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.