The Parlor Reconstructive Tattoos, LLC

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

Legal business name

THE PARLOR RECONSTRUCTIVE TATTOOS, LLC

Practice address

14 Nason St Ste 203
Maynard, MA 01754-2594

Phone

(781) 658-2233

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Abbie Lynn IngramNPI 1144491101

Title

Owner

Phone

(617) 312-7921

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abbie Lynn Ingram, P.A.-C

  • Medical Art Specialist/Technologist
  • Boston, MA
  • NPI 1144491101

  Art, Medical

  NPD Authorized official
• Douglas L Helm, M.D.

  • Plastic Surgery Physician
  • Weymouth, MA
  • NPI 1598827933
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1821727405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WARREN RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025962",
            "telephone_number": "617-312-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 NASON ST STE 203",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017542594",
            "telephone_number": "781-658-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Pleasant St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021902427",
            "country_code": "US",
            "telephone_number": "781-812-0927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PARLOR RECONSTRUCTIVE TATTOOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-312-7921",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Smith
• Sharon Solebo Davis
• Michelle Stolow, MAT, IBCLC
• Erin Story, LCSW
• Dana Stukenbroeker
• Theragenix Pharmacy Inc
• Town of Maynard
• Town of Maynard
• Town of Maynard Ambulance Service
• Chelsea Trump, LPC

• Medical Art Specialist/Technologist in Maynard, MA
• Providers in Maynard, MA by specialty
• Medical Art Specialist/Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.