Active NPI
Unique Boutique Inc
- Prosthetic/Orthotic Supplier
- Charlotte, NC
National Provider Identifier
1356312250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0193430001 | Other | NC | DME |
National Provider Directory
National Provider DirectoryLocations
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.