NPIMap

Organization Active NPI

Crown and Glory Hair Replacement LLC

  • Prosthetics Case Management
  • Florissant, MO
National Provider Identifier
1750855391
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
CROWN AND GLORY HAIR REPLACEMENT LLC
Practice address
1474 Stonebury CT
Florissant, MO 63033-6109
Phone
(314) 467-0556
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Ms. Deshona Marie West, COSMETOLOGISTNPI 1700363546
Title
Certified Hair Loss Specialist
Phone
(314) 467-0556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

1474 Stonebury CT
Florissant, MO 63033-6109

Mailing address

1474 Stonebury CT
Florissant, MO 63033-6109
Phone (314) 467-0556

National Provider Directory

National Provider Directory

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": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1750855391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 STONEBURY CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336109",
            "telephone_number": "314-467-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 STONEBURY CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336109",
            "telephone_number": "314-467-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN AND GLORY HAIR REPLACEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "DESHONA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "314-467-0556",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.