Goshus Aura Senior Nail Spa

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GOSHUS AURA SENIOR NAIL SPA

Practice address

15 82ND Dr Ste 160
Gladstone, OR 97027-2557

Phone

(707) 218-1072

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

Xee Xiong

Title

Medical Nail Technician

Phone

(707) 218-1072

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1417626102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 160",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272557",
            "telephone_number": "707-218-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 160",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272557",
            "telephone_number": "707-218-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHUS AURA SENIOR NAIL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "XEE",
        "authorized_official_title_or_position": "MEDICAL NAIL TECHNICIAN",
        "authorized_official_telephone_number": "707-218-1072"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01810159",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "goshusora@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 82nd Dr Ste 160",
            "city": "Gladstone",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970272557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Specialist in Gladstone, OR
• Providers in Gladstone, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.