NPIMap

Organization Active NPI

Pediatric Hair Solutions Corporation

  • Health Service Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1508210998
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
200200218 Issued in NC
Legal business name
PEDIATRIC HAIR SOLUTIONS CORPORATION
Practice address
1328 Ashley SQ
Winston Salem, NC 27103-2919
Phone
(704) 909-9414
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
John E Fassler, M.D.
Title
Medical Director
Phone
(704) 909-9414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 200200218 NC Primary

Addresses

Primary practice location

1328 Ashley SQ
Winston Salem, NC 27103-2919

Mailing address

6923 Shannon Willow Rd
Ste 100
Charlotte, NC 28226-1330
Phone (704) 909-9414

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Hair Solutions Corporation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1328 Ashley Sq
Winston Salem, NC 27103
Phone (336) 760-8800

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1508210998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 SHANNON WILLOW RD",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261330",
            "telephone_number": "704-909-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 ASHLEY SQ",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032919",
            "telephone_number": "704-909-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HAIR SOLUTIONS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "FASSLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-909-9414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "200200218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.