Active NPI
Shanna Hair Bar
- Prosthetic/Orthotic Supplier
- Manassas, VA
National Provider Identifier
1407621329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- shanna hair bar medical wigs
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 2763328969 |
National Provider Directory
National Provider DirectoryLocations
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.