Artisan Beauty Salon LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ARTISAN BEAUTY SALON LLC

Doing business as

Artisan Beauty Rx

Practice address

2170 W Point Rd Ste 36
Lagrange, GA 30240-4060

Phone

(762) 323-7874

Fax

(706) 756-8779

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Era RussellNPI 1447604178

Title

Owner

Phone

(762) 323-7874

Specialties & licenses 1

Addresses

Other names 1

• Artisan Beauty Rx Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Era Russell, HAIR LOSS SPECIALIST

  • Prosthetist
  • Lagrange, GA
  • NPI 1447604178
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1649935065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 W POINT RD STE 36",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404060",
            "telephone_number": "762-323-7874",
            "fax_number": "706-756-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W POINT RD STE 36",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404060",
            "telephone_number": "762-323-7874",
            "fax_number": "706-756-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISAN BEAUTY SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "762-323-7874"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://theartisanhairco.com/collections/medical-wigs",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direcr link",
            "address_1": "2170 W Point Rd Ste 36",
            "city": "LaGrange",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302404060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Artisan Beauty Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.