Active NPI
Noire Beauty LLC
- Customized Equipment (DME)
- St Louis Park, MN
National Provider Identifier
1457047185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- NOIRE BEAUTY LLC
- Practice address
- 5775 Wayzata Blvd # 700-4075
St Louis Park, MN 55416-1222 - Phone
- (612) 735-3343
- NPI assigned
- Apr 14, 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
- Danielle Cyrus
- Title
- Ceo
- Phone
- (612) 735-3343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
5775 Wayzata Blvd # 700-4075
St Louis Park, MN 55416-1222
Mailing address
5775 Wayzata Blvd # 700-4075
St Louis Park, MN 55416-1222
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1457047185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD # 700-4075",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD # 700-4075",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161222",
"telephone_number": "612-735-3343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOIRE BEAUTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "CYRUS",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "612-735-3343"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.