Barbies Luxury Hair Studio LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BARBIES LUXURY HAIR STUDIO LLC

Practice address

5612 Pembroke Rd Ste D
West Park, FL 33023-2304

Phone

(954) 274-1183

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Shantoria Evans

Title

Owner

Phone

(954) 274-1183

Specialties & licenses 1

Addresses

Other names 1

• Luxury Hair ER Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1396400693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 PEMBROKE RD STE D",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330232304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 PEMBROKE RD STE D",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330232304",
            "telephone_number": "954-274-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBIES LUXURY HAIR STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "SHANTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-274-1183"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "12394208857",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "5612 Pembroke Rd Ste D",
            "city": "West Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330232304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Luxury Hair ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in West Park, FL
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.