Professional Hair Designer

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1474782 Issued in TX

Legal business name

PROFESSIONAL HAIR DESIGNER

Doing business as

Professional Hair Designer

Practice address

7907 Martinelli
San Antonio, TX 78253-5042

Phone

(806) 502-8077

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lenthoria Denise Johnson

Title

Cosmetologist/Owner

Phone

(806) 502-8077

Specialties & licenses 1

Addresses

Other names 1

• Professional Hair Designer Doing business as

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1194271098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 MARTINELLI",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535042",
            "telephone_number": "806-502-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7907 MARTINELLI",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535042",
            "telephone_number": "806-502-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HAIR DESIGNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LENTHORIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "COSMETOLOGIST/OWNER",
        "authorized_official_telephone_number": "806-502-8077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1474782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Hair Designer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.