Organization Active NPI

Kyss Med Spa

  • Multi-Specialty Clinic/Center
  • Herndon, VA
National Provider Identifier
1104553213
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KYSS MED SPA
Practice address
203 Elden St Ste 304
Herndon, VA 20170-4814
Phone
(703) 463-9620
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Harpreet Gill
Title
Owner
Phone
(703) 463-9620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

203 Elden St Ste 304
Herndon, VA 20170-4814

Mailing address

203 Elden St Ste 304
Herndon, VA 20170-4814
Phone (703) 463-9620

National Provider Directory

National Provider Directory

Locations

203 Elden St
Ste 304
Herndon, VA 20170
Phone (703) 463-9620

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1104553213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ELDEN ST STE 304",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704814",
            "telephone_number": "703-463-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 ELDEN ST STE 304",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704814",
            "telephone_number": "703-463-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYSS MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-463-9620"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.