Active NPI
Atlanta Hair Dispensary
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1235816182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ATLANTA HAIR DISPENSARY
- Practice address
- 1700 Northside Dr NW Ste A7
Atlanta, GA 30318-2695 - Phone
- (844) 404-7584
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashlyn Sadberry
- Title
- Owner and Ceo
- Phone
- (281) 247-4177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
1700 Northside Dr NW Ste A7
Atlanta, GA 30318-2695
Mailing address
2100 Defoors Ferry Rd NW # 2052
Atlanta, GA 30318-2391
Phone (281) 247-4177
Other names 1
- Hottie Hair Company
National Provider Directory
National Provider DirectoryLocations
2100 Defoors Ferry Rd NW
#2052
Atlanta, GA 30318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1235816182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 DEFOORS FERRY RD NW # 2052",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182391",
"telephone_number": "281-247-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NORTHSIDE DR NW STE A7",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182695",
"telephone_number": "844-404-7584"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA HAIR DISPENSARY",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-07-02",
"status": "A",
"authorized_official_last_name": "SADBERRY",
"authorized_official_first_name": "ASHLYN",
"authorized_official_title_or_position": "OWNER AND CEO",
"authorized_official_telephone_number": "281-247-4177"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hottie Hair Company",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.