Organization Active NPI

Platinum Style and Aesthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Greeley, CO
National Provider Identifier
1639056492
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PLATINUM STYLE AND AESTHETICS, LLC
Practice address
1101 8TH St Ste 4
Greeley, CO 80631-6462
Phone
(970) 545-1542
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Amanda Benavidez
Title
President
Phone
(970) 545-1542

Specialties & licenses 1

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

Addresses

Primary practice location

1101 8TH St Ste 4
Greeley, CO 80631-6462

Mailing address

4222 Lake Mead Dr
Greeley, CO 80634-9290
Phone (970) 545-1542

National Provider Directory

National Provider Directory

Locations

1101 8th St
Ste 4
Greeley, CO 80631
Phone (970) 545-1542

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1639056492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 LAKE MEAD DR",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349290",
            "telephone_number": "970-545-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 8TH ST STE 4",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806316462",
            "telephone_number": "970-545-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM STYLE AND AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-545-1542"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.