Dfined Beauty LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DFINED BEAUTY LLC

Practice address

1507 E 53Rd St # 835
Chicago, IL 60615-4573

Phone

(469) 826-8700

Fax

(469) 202-4689

NPI assigned

May 2, 2020

Organization subpart

No

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

Authorized official

Name

Chelsea Stephens

Title

Owner

Phone

(469) 826-8700

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588377600000",
    "number": "1265053136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E 53RD ST # 835",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154573",
            "telephone_number": "469-826-8700",
            "fax_number": "469-202-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E 53RD ST # 835",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154573",
            "telephone_number": "469-826-8700",
            "fax_number": "469-202-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFINED BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-02",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-826-8700"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4692024689",
            "affiliation": "N",
            "endpointDescription": "Fax Machine",
            "address_1": "1507 E 53rd St # 835",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606154573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Chicago, IL
• Providers in Chicago, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; 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.