Organization Active NPI

Pretty Hair Solutions

  • Prosthetic/Orthotic Supplier
  • Clementon, NJ
National Provider Identifier
1548849524
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PRETTY HAIR SOLUTIONS
Practice address
22 Berlin Rd Unit 292
Clementon, NJ 08021-8013
Phone
(310) 857-4302
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Mrs. Kendra K Shine
Title
Owner
Phone
(310) 857-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

22 Berlin Rd Unit 292
Clementon, NJ 08021-8013

Mailing address

22 Berlin Rd Unit 292
Clementon, NJ 08021-8013

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 6097397828

National Provider Directory

National Provider Directory

Locations

22 Berlin Rd
Unit 292
Clementon, NJ 08021
Phone (310) 857-4302

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1548849524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BERLIN RD UNIT 292",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080218013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BERLIN RD UNIT 292",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080218013",
            "telephone_number": "310-857-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRETTY HAIR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "SHINE",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-857-4302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6097397828",
            "affiliation": "N",
            "endpointDescription": "Fax Machine",
            "address_1": "22 Berlin Rd Unit 292",
            "city": "Clementon",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080218013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clementon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.