Hair Loss Center of Boston LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

HAIR LOSS CENTER OF BOSTON LLC

Practice address

117 Main St Ste 48
Stoneham, MA 02180-3305

Phone

(800) 484-7017

NPI assigned

Sep 17, 2020

Organization subpart

No

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

Authorized official

Name

Chimene Carole Ngnintoundem

Title

Owner

Phone

(617) 319-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1639785462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MAIN ST STE 48",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803305",
            "telephone_number": "800-484-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MAIN ST STE 48",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803305",
            "telephone_number": "800-484-7017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Ashland St # 2",
            "address_purpose": "LOCATION",
            "city": "Melrose",
            "state": "MA",
            "postal_code": "021761235",
            "country_code": "US",
            "telephone_number": "800-484-7017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAIR LOSS CENTER OF BOSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "NGNINTOUNDEM",
        "authorized_official_first_name": "CHIMENE",
        "authorized_official_middle_name": "CAROLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-319-8773"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICHOLOGIST LICENSE",
            "identifier": "012543",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://hairlosscenterofboston.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "117 Main St Ste 48",
            "city": "Stoneham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021803305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetics Case Management in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Prosthetics Case Management in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.