Organization Active NPI

Smiley'S Hair Clinic LLC

  • Mastectomy Fitter
  • Tucker, GA
National Provider Identifier
1760143689
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
Legal business name
SMILEY'S HAIR CLINIC LLC
Practice address
4229 1St Ave Ste E
Tucker, GA 30084-4469
Phone
(678) 515-7523
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Sharmele West-SmithNPI 1306217013
Title
Mastectomy Fitter
Phone
(678) 515-7523

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
Mastectomy FitterGroup: 193200000X MULTI-SPECIALTY GROUP 224900000X Primary

Addresses

Primary practice location

4229 1St Ave Ste E
Tucker, GA 30084-4469

Mailing address

4229 1St Ave Ste E
Tucker, GA 30084-4469
Phone (678) 515-7523

National Provider Directory

National Provider Directory
Tax ID family
Smiley'S Hair Clinic 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.

Locations

4229 1st Ave
Ste E
Tucker, GA 30084
Phone (678) 515-7523

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": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1760143689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 1ST AVE STE E",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844469",
            "telephone_number": "678-515-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 1ST AVE STE E",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844469",
            "telephone_number": "678-515-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEY'S HAIR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "WEST-SMITH",
        "authorized_official_first_name": "SHARMELE",
        "authorized_official_title_or_position": "MASTECTOMY FITTER",
        "authorized_official_telephone_number": "678-515-7523"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.