Organization Active NPI

Coastal Hair Restoration, Inc

Doing business as Coastal Medical Solutions

  • Primary Care Clinic/Center
  • Virginia Beach, VA
National Provider Identifier
1437394764
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101229833 Issued in VA
Legal business name
COASTAL HAIR RESTORATION, INC
Doing business as
Coastal Medical Solutions
Practice address
3082 Brickhouse CT
Virginia Beach, VA 23452-6859
Phone
(757) 486-0067
Fax
(757) 486-0061
NPI assigned
Dec 16, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Glenn Barron Cheshire, M.D.
Title
Owner
Phone
(757) 486-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101229833 VA Primary

Addresses

Primary practice location

3082 Brickhouse CT
Virginia Beach, VA 23452-6859

Mailing address

3082 Brickhouse CT
Virginia Beach, VA 23452-6859
Phone (757) 486-0067

Other names 1

  • Coastal Medical Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

3082 Brickhouse Ct
Virginia Beach, VA 23452
Phone (757) 302-5663

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1437394764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 BRICKHOUSE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-486-0067",
            "fax_number": "757-486-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 BRICKHOUSE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526859",
            "telephone_number": "757-486-0067",
            "fax_number": "757-486-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HAIR RESTORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "CHESHIRE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "BARRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-486-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101229833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.