Enid Holdings LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

ENID HOLDINGS LLC

Practice address

4501 N I 10 Service Rd W
Metairie, LA 70006-6525

Phone

(202) 615-4832

NPI assigned

Jul 18, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Enid Knockum

Title

Owner

Phone

(202) 615-4832

Specialties & licenses 1

Addresses

Other names 1

• Beautiful to Beauty Other name

Locations

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1184147498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PONY LN",
            "city": "SAINT ROSE",
            "state": "LA",
            "postal_code": "700873638",
            "telephone_number": "202-615-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066525",
            "telephone_number": "202-615-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KNOCKUM",
        "authorized_official_first_name": "ENID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-615-4832",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful to Beauty",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beautiful to Beauty",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Procedural Dermatology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Procedural Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.