NPIMap

Organization Active NPI

Lady Marie Hair Restoration

  • Durable Medical Equipment & Medical Supplies
  • Flint, MI
National Provider Identifier
1396279915
Registry record updated Apr 20, 2017
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Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2702120165
Legal business name
LADY MARIE HAIR RESTORATION
Practice address
3506 Beecher Rd
Suite B
Flint, MI 48503-4966
Phone
(810) 625-5628
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Ms. Chantel Marie Doan, COSMETOLOGIST
Title
Hair Replacement Specialist/Owner
Phone
(810) 625-5628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2702120165 Primary

Addresses

Primary practice location

3506 Beecher Rd
Suite B
Flint, MI 48503-4966

Mailing address

3506 Beecher Rd
Suite B
Flint, MI 48503-4966
Phone (810) 625-5628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1396279915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 BEECHER RD",
            "address_2": "SUITE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034966",
            "telephone_number": "810-625-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 BEECHER RD",
            "address_2": "SUITE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034966",
            "telephone_number": "810-625-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY MARIE HAIR RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "HAIR REPLACEMENT SPECIALIST/OWNER",
        "authorized_official_telephone_number": "810-625-5628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "2702120165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.