NPIMap

Organization Active NPI

Real Custom Hair

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1780137844
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CO094395 Issued in GA
Legal business name
REAL CUSTOM HAIR
Practice address
2451 Cumberland Pkwy SE
300-3711
Atlanta, GA 30339-6136
Phone
(678) 733-6466
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Nikki BellNPI 1649715731
Title
Ceo
Phone
(678) 733-6466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CO094395 GA Primary

Addresses

Primary practice location

2451 Cumberland Pkwy SE
300-3711
Atlanta, GA 30339-6136

Mailing address

2451 Cumberland Pkwy SE
300-3711
Atlanta, GA 30339-6136
Phone (678) 733-6466

National Provider Directory

National Provider Directory

Locations

2451 Cumberland Pkwy SE
Atlanta, GA 30339
Phone (770) 437-7000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1780137844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "300-3711",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "678-733-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "address_2": "300-3711",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "678-733-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL CUSTOM HAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-733-6466"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "CO094395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.