Organization Active NPI

Unique Boutique Inc

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
National Provider Identifier
1356312250
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
UNIQUE BOUTIQUE INC
Practice address
4830 Monroe Rd Ste a
Charlotte, NC 28205-7856
Phone
(704) 377-4356
Fax
(704) 377-9361
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Melissa Marie Kucharski-Nelson
Title
Manager
Phone
(704) 377-4356

Specialties & licenses 1

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

Addresses

Primary practice location

4830 Monroe Rd Ste a
Charlotte, NC 28205-7856

Mailing address

2021 E 7TH St
Charlotte, NC 28204
Phone (704) 377-4356

Other identifiers 1

IdentifierTypeStateIssuer
0193430001OtherNCDME

National Provider Directory

National Provider Directory

Locations

2221 E 7TH St
Charlotte, NC 28204

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1356312250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-377-4356",
            "fax_number": "704-377-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 MONROE RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057856",
            "telephone_number": "704-377-4356",
            "fax_number": "704-377-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE BOUTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "KUCHARSKI-NELSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-377-4356"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0193430001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.