Organization Active NPI

Lavant Garde Hair

  • Prosthetic/Orthotic Supplier
  • Bridgeport, CT
National Provider Identifier
1225580087
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
LAVANT GARDE HAIR
Practice address
580 Newfield Ave
Bridgeport, CT 06607-1718
Phone
(203) 257-9279
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Mrs. Kai Perry
Title
Operations Manager
Phone
(203) 257-9279

Specialties & licenses 1

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

Addresses

Primary practice location

580 Newfield Ave
Bridgeport, CT 06607-1718

Mailing address

580 Newfield Ave
Bridgeport, CT 06607-1718
Phone (203) 257-9279

National Provider Directory

National Provider Directory

Locations

580 Newfield Ave
Bridgeport, CT 06607
Phone (203) 257-9279

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1225580087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 NEWFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066071718",
            "telephone_number": "203-257-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 NEWFIELD AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066071718",
            "telephone_number": "203-257-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVANT GARDE HAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "KAI",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "203-257-9279",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.