Organization Active NPI

The Cosmetic Concierge, PLLC

  • Surgery Physician
  • Charlotte, NC
National Provider Identifier
1154806271
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
THE COSMETIC CONCIERGE, PLLC
Practice address
325 Arlington Ave Unit B
Charlotte, NC 28203-4574
Phone
(980) 938-0459
Fax
(980) 938-0444
NPI assigned
Sep 25, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Kevin Martin
Title
Administrative Coordinator
Phone
(980) 938-0459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

325 Arlington Ave Unit B
Charlotte, NC 28203-4574

Mailing address

325 Arlington Ave Unit B
Charlotte, NC 28203-4574
Phone (980) 938-0459

National Provider Directory

National Provider Directory

Locations

325 Arlington Ave
Unit B
Charlotte, NC 28203
Phone (844) 267-2666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1154806271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ARLINGTON AVE UNIT B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034574",
            "telephone_number": "980-938-0459",
            "fax_number": "980-938-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ARLINGTON AVE UNIT B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034574",
            "telephone_number": "980-938-0459",
            "fax_number": "980-938-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COSMETIC CONCIERGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "980-938-0459"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.