Neurotrix, Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

NEUROTRIX, INC.

Doing business as

Pretty Skin Again

Practice address

1657 E 70TH St
Shreveport, LA 71105-5115

Phone

(318) 869-8439

Fax

(318) 797-1423

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Keyvan Shahrdar

Title

Cfo

Phone

(318) 869-8439

Specialties & licenses 1

Addresses

Other names 1

• Pretty Skin Again Doing business as

Locations

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.

• Herbert Stephen Maguire, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Fargo, ND
  • NPI 1568482339
  NPD (past)

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1851563464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53225",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711353225",
            "telephone_number": "318-869-8439",
            "fax_number": "318-797-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 E 70TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055115",
            "telephone_number": "318-869-8439",
            "fax_number": "318-797-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTRIX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHAHRDAR",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-869-8439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pretty Skin Again",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Plastic and Reconstructive Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.