Organization Active NPI

Grooming Arts Lounge and Gallery

  • Specialist
  • Southfield, MI
National Provider Identifier
1124685789
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GROOMING ARTS LOUNGE AND GALLERY
Practice address
19520 Dorset St
Southfield, MI 48075-7112
Phone
(313) 399-2064
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Authorized official

Name
Mr. Sazuan Rafael Judkins
Title
Owner
Phone
(313) 399-2064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

19520 Dorset St
Southfield, MI 48075-7112

Mailing address

19520 Dorset St
Southfield, MI 48075-7112
Phone (313) 399-2064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1124685789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19520 DORSET ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757112",
            "telephone_number": "313-399-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19520 DORSET ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757112",
            "telephone_number": "313-399-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOMING ARTS LOUNGE AND GALLERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "SAZUAN",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-399-2064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.