Hair Bakery Boutique LLC.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

HAIR BAKERY BOUTIQUE LLC.

Practice address

225 Franklin Rd Unit 3313
Sandy Springs, GA 30342-2752

Phone

(843) 224-8684

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Davida Maria Roach

Title

Owner

Phone

(843) 224-8684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1114505849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FRANKLIN RD UNIT 3313",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FRANKLIN RD UNIT 3313",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422752",
            "telephone_number": "843-224-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR BAKERY BOUTIQUE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "DAVIDA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-224-8684"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sari Paige Gruber, O.D.
• Oumy Gueye
• Quy Hai Nguyen Ha, APRN
• Abigael Haens
• Helina Hagos
• Andrea Elizabeth Hall, RN
• Ashley Hamilton
• Shantia M Hamilton
• Hammond Dental Sandy Springs LLC
• Michael R. Hanichen, R.PH.

• Customized Equipment (DME) in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.