The House of Versailles Medical Spa LLC

Primary specialty

Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X

Legal business name

THE HOUSE OF VERSAILLES MEDICAL SPA LLC

Doing business as

Versailles Medical Spa

Practice address

106 Noroton Ave
Darien, CT 06820-5237

Phone

(203) 202-7688

NPI assigned

Dec 17, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Courtney Elizabeth Murray

Title

Project Manager

Phone

(203) 858-3531

Specialties & licenses 6

Addresses

Other names 1

• Versailles Medical Spa Doing business as

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1265191266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205237",
            "telephone_number": "203-202-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVE",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205237",
            "telephone_number": "203-202-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOUSE OF VERSAILLES MEDICAL SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "203-858-3531",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Versailles Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Town of Darien

• Obesity Medicine (Family Medicine) Physician in Darien, CT
• Providers in Darien, CT by specialty
• Obesity Medicine (Family Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.