Capitol Beauty and Barbering LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CAPITOL BEAUTY AND BARBERING LLC

Practice address

3584 Forrest Ave
Memphis, TN 38122-5123

Phone

(901) 239-1020

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Lakesha W PolkNPI 1336767375

Title

Certified Hair Loss Specialist

Phone

(901) 239-1020

Specialties & licenses 1

Addresses

Other names 1

• CAPITOL BEAUTY, BARBERING AND HAIR RESTORATION 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.

• Lakesha Polk, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Memphis, TN
  • NPI 1336767375
  NPD Authorized official

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1396491429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 FORREST AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225123",
            "telephone_number": "901-239-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 FORREST AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225123",
            "telephone_number": "901-239-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL BEAUTY AND BARBERING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "901-239-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAPITOL BEAUTY, BARBERING AND HAIR RESTORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wenlei Cao
• Yan Cao, M.D.
• Capable Care
• Hays Torgerson Cape
• Capelville Dialysis LLC
• Capitol City Family Services
• Michal Caplan, LCSW
• Annette Denise Caple, NP
• Roseanna Capooth, PHD
• Kelsey Fields Caprio, LPC-MHSP, TEMPORARY

• Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.