Active NPI
Brenda Starr Hairstyling
- Prosthetic/Orthotic Supplier
- Chesapeake, VA
National Provider Identifier
1568665644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 1202017211
- Legal business name
- BRENDA STARR HAIRSTYLING
- Practice address
- 3105 Western Branch Blvd
Suite #8
Chesapeake, VA 23321-5543 - Phone
- (757) 638-7880
- Fax
- (757) 638-7880
- NPI assigned
- Jun 7, 2007
- 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
- Mrs. Brenda Hargrove-Addison
- Title
- Owner
- Phone
- (757) 638-7880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 1202017211 | VA | Primary |
Addresses
Primary practice location
3105 Western Branch Blvd
Suite #8
Chesapeake, VA 23321-5543
Mailing address
3105 Western Branch Blvd
Suite #8
Chesapeake, VA 23321-5543
Phone (757) 638-7880
Other names 1
- Brenda Starr Image Center
National Provider Directory
National Provider DirectoryLocations
3105 Western Branch Blvd
Ste 8
Chesapeake, VA 23321
Phone (757) 638-7880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1568665644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 WESTERN BRANCH BLVD",
"address_2": "SUITE #8",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215543",
"telephone_number": "757-638-7880",
"fax_number": "757-638-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 WESTERN BRANCH BLVD",
"address_2": "SUITE #8",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233215543",
"telephone_number": "757-638-7880",
"fax_number": "757-638-7880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA STARR HAIRSTYLING",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "HARGROVE-ADDISON",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-638-7880",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "VA",
"license": "1202017211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brenda Starr Image Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.