Active NPI
Bates Family Hair Affair, LLC
- Prosthetic/Orthotic Supplier
- Williston, SC
National Provider Identifier
1740908417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Customized Equipment (DME)
- Williston, SC
- NPI 1679148662
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.