NPIMap

Organization Active NPI

Infinite Rejuvenation LLC

  • Non-Pharmacy Dispensing Site
  • Fort Mill, SC
National Provider Identifier
1598024580
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
INFINITE REJUVENATION LLC
Doing business as
Infinite Wellness
Practice address
1698 Highway 160 W
Suite 200
Fort Mill, SC 29708-8032
Phone
(803) 547-4343
NPI assigned
May 10, 2012
Organization subpart
Yes
Parent organization
INFINITE REJUVENATION LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. Dana P. Giarrizzi, DO
Title
Owner
Phone
(803) 547-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1698 Highway 160 W
Suite 200
Fort Mill, SC 29708-8032

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Infinite Wellness Doing business as

National Provider Directory

National Provider Directory
Part of
Infinite Rejuvenation LLC

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1598024580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 HIGHWAY 160 W",
            "address_2": "SUITE 200",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297088032",
            "telephone_number": "803-547-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE REJUVENATION LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INFINITE REJUVENATION LLC",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "GIARRIZZI",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-547-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinite Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.