Active NPI
Lavishinglux Hair Imports
- Prosthetic/Orthotic Supplier
- Jackson, MS
National Provider Identifier
1366064263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- LAVISHINGLUX HAIR IMPORTS
- Practice address
- 200 Belle Chasse Cir
Jackson, MS 39212-3164 - Phone
- (877) 376-7025
- Fax
- (601) 348-9887
- NPI assigned
- May 13, 2020
- 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
- Kiara Kincaid
- Title
- Owner
- Phone
- (877) 376-7025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
200 Belle Chasse Cir
Jackson, MS 39212-3164
Mailing address
200 Belle Chasse Cir
Jackson, MS 39212-3164
Phone (877) 376-7025
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 6013489887 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589328000000",
"number": "1366064263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BELLE CHASSE CIR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123164",
"telephone_number": "877-376-7025",
"fax_number": "601-348-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BELLE CHASSE CIR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392123164",
"telephone_number": "877-376-7025",
"fax_number": "601-348-9887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVISHINGLUX HAIR IMPORTS",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A",
"authorized_official_last_name": "KINCAID",
"authorized_official_first_name": "KIARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-376-7025"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "6013489887",
"affiliation": "N",
"endpointDescription": "Fax #",
"address_1": "200 Belle Chasse Cir",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392123164",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.