Organization Active NPI

Konfident Hair Clinic & Salon

  • Prosthetic/Orthotic Supplier
  • Douglasville, GA
National Provider Identifier
1174306146
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KONFIDENT HAIR CLINIC & SALON
Practice address
3220 Highway 5 Ste 6
Douglasville, GA 30135-2306
Phone
(678) 401-3443
Fax
(404) 601-4561
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Fikisha MonroeNPI 1427999804
Title
Prosthetic Orthotic Provider
Phone
(678) 401-3443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3220 Highway 5 Ste 6
Douglasville, GA 30135-2306

Mailing address

3220 Highway 5 Ste 6
Douglasville, GA 30135-2306
Phone (678) 401-3443

National Provider Directory

National Provider Directory

Locations

3220 Highway 5
Ste 6
Douglasville, GA 30135
Phone (678) 401-3443

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": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1174306146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 HIGHWAY 5 STE 6",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352306",
            "telephone_number": "678-401-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 HIGHWAY 5 STE 6",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352306",
            "telephone_number": "678-401-3443",
            "fax_number": "404-601-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONFIDENT HAIR CLINIC & SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "FIKISHA",
        "authorized_official_title_or_position": "PROSTHETIC ORTHOTIC PROVIDER",
        "authorized_official_telephone_number": "678-401-3443"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.