Beauty Green Salon & Hair Extensions, LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

BEAUTY GREEN SALON & HAIR EXTENSIONS, LLC

Practice address

3812 SW 8TH St
Coral Gables, FL 33134-3002

Phone

(786) 607-3698

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Ysdaly ThielenNPI 1639922602

Title

President

Phone

(786) 607-3698

Specialties & licenses 1

Addresses

Other names 1

• BG Integrative Studio Doing business as

Locations

Practitioners 1

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

• Ysdaly Virginia Thielen

  • Other Specialist/Technologist
  • Coral Gables, FL
  • NPI 1639922602

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1376357913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343002",
            "telephone_number": "786-607-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343002",
            "telephone_number": "786-607-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY GREEN SALON & HAIR EXTENSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "THIELEN",
        "authorized_official_first_name": "YSDALY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-607-3698"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BG Integrative Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Coral Gables, FL
• Other Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.