Organization Active NPI

Shanna Hair Bar

  • Prosthetic/Orthotic Supplier
  • Manassas, VA
National Provider Identifier
1407621329
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SHANNA HAIR BAR
Doing business as
shanna hair bar
Practice address
9625 Surveyor CT Ste 110
Manassas, VA 20110-4408
Phone
(571) 776-6746
Fax
(276) 332-8969
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Shanna Kay Diandra Knight
Title
Owner
Phone
(571) 776-6746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

9625 Surveyor CT Ste 110
Manassas, VA 20110-4408

Mailing address

9625 Surveyor CT Ste 110
Manassas, VA 20110-4408
Phone (571) 776-6746

Other names 2

  • shanna hair bar Doing business as
  • shanna hair bar medical wigs Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2763328969

National Provider Directory

National Provider Directory

Locations

9625 Surveyor Ct
Ste 110
Manassas, VA 20110
Phone (571) 776-6746

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1407621329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR CT STE 110",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104408",
            "telephone_number": "571-776-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 SURVEYOR CT STE 110",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104408",
            "telephone_number": "571-776-6746",
            "fax_number": "276-332-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNA HAIR BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SHANNA KAY",
        "authorized_official_middle_name": "DIANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-776-6746"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2763328969",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "9625 Surveyor Ct Ste 110",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "shanna hair bar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "shanna hair bar medical wigs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.