Organization Active NPI

Exquisite Beauty Hair Replacement Center

  • Durable Medical Equipment & Medical Supplies
  • Chesapeake, VA
National Provider Identifier
1346862042
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXQUISITE BEAUTY HAIR REPLACEMENT CENTER
Practice address
1580 Crossways Blvd
Chesapeake, VA 23320-0206
Phone
(757) 567-2698
NPI assigned
May 15, 2020
Organization subpart
Yes
Parent organization
EXQUISITE BEAUTY INDUSTRIES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Ms. Lisa Rena Corbin, HAIR LOSS PRACTITIONNPI 1659047074
Title
Owner
Phone
(757) 567-2698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1580 Crossways Blvd
Chesapeake, VA 23320-0206

Mailing address

109G Gainsborough SQ # 162
Chesapeake, VA 23320-1707
Phone (757) 567-2698

National Provider Directory

National Provider Directory
Part of
Exquisite Beauty Hair Replacement Center

Locations

1580 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 567-2698

4206 Indian River Rd
Chesapeake, VA 23325

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1346862042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109G GAINSBOROUGH SQ # 162",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201707",
            "telephone_number": "757-567-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CROSSWAYS BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200206",
            "telephone_number": "757-567-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXQUISITE BEAUTY HAIR REPLACEMENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXQUISITE BEAUTY INDUSTRIES, LLC",
        "enumeration_date": "2020-05-15",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-567-2698",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HAIR LOSS PRACTITION"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.