Active NPI
Extreme Beauty Supply & Retail
Doing business as eXTREME BEAUTY MEDICAL
- Prosthetic/Orthotic Supplier
- Lancaster, PA
National Provider Identifier
1275217960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- EXTREME BEAUTY SUPPLY & RETAIL
- Doing business as
- eXTREME BEAUTY MEDICAL
- Practice address
- 447 S Prince St Ste 14
Lancaster, PA 17603-5657 - Phone
- (717) 327-8708
- NPI assigned
- Jun 13, 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
- Falesha R. Martin
- Title
- Owner
- Phone
- (717) 327-8708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
447 S Prince St Ste 14
Lancaster, PA 17603-5657
Mailing address
23 W Market St Unit 41
York, PA 17401-1254
Other practice location 1
1200 Greensprings Drive
Store#1230
York, PA 17402
Phone (717) 747-1942
Other names 1
- eXTREME BEAUTY MEDICAL
National Provider Directory
National Provider Directory- Tax ID family
- Extreme Beauty Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- York, PA
- NPI 1275218547
Locations
447 S Prince St
Ste 14
Lancaster, PA 17603
Phone (717) 327-8708
1200 Greensprings Dr
#1230
York, PA 17402
Phone (717) 747-1942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686614400000",
"number": "1275217960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 W MARKET ST UNIT 41",
"city": "YORK",
"state": "PA",
"postal_code": "174011254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 S PRINCE ST STE 14",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176035657",
"telephone_number": "717-327-8708"
}
],
"practiceLocations": [
{
"address_1": "1200 Greensprings Drive",
"address_2": "Store#1230",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "17402",
"country_code": "US",
"telephone_number": "717-747-1942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EXTREME BEAUTY SUPPLY & RETAIL",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-13",
"last_updated": "2023-06-13",
"certification_date": "2023-06-05",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "FALESHA R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-327-8708"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "eXTREME BEAUTY MEDICAL",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.