Active NPI
Gold Coast Allure, LLC
- Specialist
- Bridgeport, CT
National Provider Identifier
1508186883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GOLD COAST ALLURE, LLC
- Practice address
- 695 Beechwood Ave
Bridgeport, CT 06605-1606 - Phone
- (203) 918-0099
- NPI assigned
- Jun 9, 2010
- 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
- Ms. Jean Wescott, DERMALPIGMENTOLOGIST
- Title
- President
- Phone
- (203) 918-0099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
695 Beechwood Ave
Bridgeport, CT 06605-1606
Mailing address
695 Beechwood Ave
Bridgeport, CT 06605-1606
Phone (203) 918-0099
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276041600000",
"number": "1508186883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 BEECHWOOD AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066051606",
"telephone_number": "203-918-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 BEECHWOOD AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066051606",
"telephone_number": "203-918-0099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD COAST ALLURE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-09",
"last_updated": "2010-06-09",
"status": "A",
"authorized_official_last_name": "WESCOTT",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-918-0099",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DERMALPIGMENTOLOGIST"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.