Organization Active NPI

Gold Coast Allure, LLC

  • Specialist
  • Bridgeport, CT
National Provider Identifier
1508186883
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Jun 9, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.