Organization Active NPI

Bates Family Hair Affair, LLC

  • Prosthetic/Orthotic Supplier
  • Williston, SC
National Provider Identifier
1740908417
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BATES FAMILY HAIR AFFAIR, LLC
Practice address
13192 Church St
Williston, SC 29853-5818
Phone
(803) 266-2727
NPI assigned
Aug 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Tiffany Demetria Bates, MASTER DEGREE M.ED.
Title
Certified Hair Loss Specialist
Phone
(803) 300-0273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

13192 Church St
Williston, SC 29853-5818

Mailing address

42 Johnson LN
Williston, SC 29853-5432
Phone (803) 300-0273

National Provider Directory

National Provider Directory
Tax ID family
Bates Family Hair Affair LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1740908417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 JOHNSON LN",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298535432",
            "telephone_number": "803-300-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13192 CHURCH ST",
            "city": "WILLISTON",
            "state": "SC",
            "postal_code": "298535818",
            "telephone_number": "803-266-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATES FAMILY HAIR AFFAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DEMETRIA",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "803-300-0273",
        "authorized_official_credential": "MASTER DEGREE M.ED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.