Organization Active NPI

Kingdom Crowns Hair Studio

Doing business as KCHS

  • Prosthetic/Orthotic Supplier
  • Lawrenceville, GA
National Provider Identifier
1497386122
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KINGDOM CROWNS HAIR STUDIO
Doing business as
KCHS
Practice address
316 W Pike St Ste 202G
Lawrenceville, GA 30046-4878
Phone
(678) 308-1104
NPI assigned
Jan 31, 2020
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Latrina Lorraine HopkinsNPI 1447898937
Title
Owner
Phone
(678) 308-1104

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary
Specialty Pharmacy 3336S0011X NU

Addresses

Primary practice location

316 W Pike St Ste 202G
Lawrenceville, GA 30046-4878

Mailing address

1533 Great Shoals Cir
Lawrenceville, GA 30045-7098
Phone (678) 308-1104

Other practice location 1

4605 Jonesboro Rd
Forest Park, GA 30297-4317
Phone (678) 308-1104

Other names 1

  • KCHS Doing business as

National Provider Directory

National Provider Directory

Locations

4605 Jonesboro Rd
Forest Park, GA 30297
Phone (678) 308-1104

316 W Pike St
Ste 200H
Lawrenceville, GA 30046

316 W Pike St
Ste 202G
Lawrenceville, GA 30046
Phone (678) 308-1104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1497386122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 GREAT SHOALS CIR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457098",
            "telephone_number": "678-308-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W PIKE ST STE 202G",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464878",
            "telephone_number": "678-308-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 Jonesboro Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "GA",
            "postal_code": "302974317",
            "country_code": "US",
            "telephone_number": "678-308-1104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINGDOM CROWNS HAIR STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "LATRINA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-308-1104"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KCHS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KCHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

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