Snow Sparkles Spa, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SNOW SPARKLES SPA, LLC

Doing business as

Adagio Day Spa

Practice address

404 K St
Anchorage, AK 99501-2016

Phone

(907) 350-6086

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Sohyun Park

Title

Owner

Phone

(907) 350-6086

Specialties & licenses 1

Addresses

Other names 1

• Adagio Day Spa Doing business as

Practitioners 1

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

• Huiyan Fan, LMT

  • Massage Therapist
  • Anchorage, AK
  • NPI 1023757457
  NPD

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1326700527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 K ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012016",
            "telephone_number": "907-350-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 K ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012016",
            "telephone_number": "907-350-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW SPARKLES SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SOHYUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-350-6086"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adagio Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.