Organization Active NPI

Hairsonality RX

  • Prosthetic/Orthotic Supplier
  • Hampton, VA
National Provider Identifier
1326657818
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HAIRSONALITY RX
Practice address
110 Coliseum Xing # 5126
Hampton, VA 23666-5971
Phone
(804) 882-2783
Fax
(757) 838-9244
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Kanique Gray
Title
Owner
Phone
(804) 882-2783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

110 Coliseum Xing # 5126
Hampton, VA 23666-5971

Mailing address

110 Coliseum Xing # 5126
Hampton, VA 23666-5971
Phone (804) 882-2783

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 7578389244
Other URL 7578389244

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1326657818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLISEUM XING # 5126",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "804-882-2783",
            "fax_number": "757-838-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLISEUM XING # 5126",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "804-882-2783",
            "fax_number": "757-838-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRSONALITY RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KANIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-882-2783"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7578389244",
            "affiliation": "N",
            "endpointDescription": "fax#",
            "address_1": "110 Coliseum Xing # 5126",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236665971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7578389244",
            "affiliation": "N",
            "endpointDescription": "fax#",
            "address_1": "110 Coliseum Xing # 5126",
            "city": "Hampton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236665971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.