Organization Active NPI

Demi'S Lavished Boutique LLC

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1679296925
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DEMI'S LAVISHED BOUTIQUE LLC
Doing business as
Demi's Lavished Boutique LLC
Practice address
14020 S Post Oak Rd Ste 2103
Houston, TX 77045-5161
Phone
(832) 541-3152
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Demitris Diane Caraway
Title
Prosthetic Orthotic Provider
Phone
(832) 541-3152

Specialties & licenses 1

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

Addresses

Primary practice location

14020 S Post Oak Rd Ste 2103
Houston, TX 77045-5161

Mailing address

2601 Woodland Park Dr Apt 1216
Houston, TX 77077-6163
Phone (832) 541-3152

Other names 1

  • Demi's Lavished Boutique LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8328616200

National Provider Directory

National Provider Directory

Locations

14020 S Post Oak Rd
Ste 2103
Houston, TX 77045
Phone (832) 541-3152

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1679296925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WOODLAND PARK DR APT 1216",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776163",
            "telephone_number": "832-541-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 S POST OAK RD STE 2103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455161",
            "telephone_number": "832-541-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMI'S LAVISHED BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "CARAWAY",
        "authorized_official_first_name": "DEMITRIS",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PROSTHETIC ORTHOTIC PROVIDER",
        "authorized_official_telephone_number": "832-541-3152"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8328616200",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "14020 S Post Oak Rd Ste 2103",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770455161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Demi's Lavished Boutique LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.