NPIMap

Organization Active NPI

Tara House of Stylez

  • Prosthetic/Orthotic Supplier
  • Baltimore, MD
National Provider Identifier
1437746302
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TARA HOUSE OF STYLEZ
Practice address
3530 E Northern Pkwy
Baltimore, MD 21206-1632
Phone
(443) 858-7705
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Tara Marcell PettifordNPI 1356956593
Title
Hair Loss Practitioner
Phone
(443) 858-7705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3530 E Northern Pkwy
Baltimore, MD 21206-1632

Mailing address

3530 E Northern Pkwy
Baltimore, MD 21206-1632
Phone (443) 858-7705

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1437746302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 E NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061632",
            "telephone_number": "443-858-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 E NORTHERN PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212061632",
            "telephone_number": "443-858-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA HOUSE OF STYLEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "PETTIFORD",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "MARCELL",
        "authorized_official_title_or_position": "HAIR LOSS PRACTITIONER",
        "authorized_official_telephone_number": "443-858-7705"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.