Extreme Beauty Supply & Retail, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

EXTREME BEAUTY SUPPLY & RETAIL, LLC

Practice address

1230 Greensprings Dr
York, PA 17402-8825

Phone

(717) 327-8708

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Falesha Martin

Title

Cranial Prothesis Specialist

Phone

(717) 327-8708

Specialties & licenses 1

Addresses

Other names 1

• Owner Other name

Tax ID family

Extreme Beauty Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Extreme Beauty Supply & Retail

  • Prosthetic/Orthotic Supplier
  • Lancaster, PA
  • NPI 1275217960
  NPD tax ID

Locations

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1275218547",
    "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",
            "telephone_number": "717-747-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 GREENSPRINGS DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028825",
            "telephone_number": "717-327-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTREME BEAUTY SUPPLY & RETAIL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "FALESHA",
        "authorized_official_title_or_position": "CRANIAL PROTHESIS SPECIALIST",
        "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": "Owner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Everside Health LLC-York
• Everside Health Stewart Companies Health Center
• Nels O Ewoldsen, DDS
• Express and Connect Art Therapy and Counseling, LLC
• Extreme Beauty Medical Hair Loss & Medical Wig Inc
• Eyecare Professionals
• Eyemart Express, LTD.
• Eyes of York Cataract & Laser Center PC
• Eyes of York Surgical Center LLC
• Charity Anne Eyler, CRNP

• Prosthetic/Orthotic Supplier in York, PA
• Providers in York, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.