Lush Hair Affair

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LUSH HAIR AFFAIR

Practice address

136-4 Forum Drive
#1055
Columbia, SC 29229

Phone

(803) 427-9202

Fax

(803) 710-7307

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Kiante L Thompson

Title

Owner/Cranial Prosthesis Specialist

Phone

(803) 729-6940

Specialties & licenses 1

Addresses

Other names 1

• Lush Hair Affair Rx Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628380800000",
    "number": "1295307387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-4 FORUM DRIVE",
            "address_2": "#1055",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "fax_number": "803-710-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-4 FORUM DRIVE",
            "address_2": "#1055",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-427-9202",
            "fax_number": "803-710-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSH HAIR AFFAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KIANTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "803-729-6940"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "18037107307",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "136-4 Forum Drive",
            "address_2": "#1055",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lush Hair Affair Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lush Hair Affair Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Kemp Lund, NP
• Ken Wilson Lundkovsky, RPH
• Julie Lundy, ED.S., NBCC, LPC
• Alison Joan Lunsford, M.D.
• Jerod Lindsey Lunsford, M.D.
• Brendan Lushbough, DO
• Abigail Mae Lust, LCSW
• Matthew Chase Lustig
• Jalen K Luter
• Lutheran Family Services in the Carolinas

• Prosthetic/Orthotic Supplier in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.