Vintage Hair Salon

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

VINTAGE HAIR SALON

Practice address

2925 E Independence Blvd # 53
Charlotte, NC 28205-7034

Phone

(704) 236-3156

NPI assigned

Sep 2, 2024

Organization subpart

No

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

Authorized official

Name

Patrice Y Bidgood, SPECIALISTNPI 1508690413

Title

Owner

Phone

(704) 236-3156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrice Y Bidgood

  • Prosthetics Case Management
  • Charlotte, NC
  • NPI 1508690413
  NPD Authorized official

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1275367195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ST LUKE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164837",
            "telephone_number": "704-236-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 E INDEPENDENCE BLVD # 53",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057034",
            "telephone_number": "704-236-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE HAIR SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "BIDGOOD",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-236-3156",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinita Patel, DMD, P.a.
• Himabindu Vinnakota, MD
• Ashlyn Nicole Vinson, LCMHC, LCAS, NCC
• Matthew Garrett Vinson
• Tiara Chantrice Vinson, MSW, LCSW-A
• Vintage Solutions LLC
• Lynn Violette, LCSW
• Giavonni Alexis Virella, NP
• Maria Virgile, RN
• Virginia Wellness Community Services LLC

• Durable Medical Equipment & Medical Supplies in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.