Organization Active NPI

Canvas & Glow Aesthetiq, PC

  • Medical Specialty Clinic/Center
  • Huntersville, NC
National Provider Identifier
1861367781
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
CANVAS & GLOW AESTHETIQ, PC
Practice address
9710 Sam Furr Rd Unit E
Huntersville, NC 28078-4928
Phone
(704) 951-4569
Fax
(980) 288-4569
NPI assigned
Oct 9, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Mrs. Amber Childers Giordano, FNPNPI 1225693716
Title
Owner
Phone
(704) 951-4569

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
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

9710 Sam Furr Rd Unit E
Huntersville, NC 28078-4928

Mailing address

9710 Sam Furr Rd Unit E
Huntersville, NC 28078-4928
Phone (704) 951-4569

National Provider Directory

National Provider Directory

Locations

9710 Sam Furr Rd
Unit E
Huntersville, NC 28078
Phone (704) 951-4569

Practitioners & affiliated clinicians

Practitioners 2

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": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1861367781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "704-951-4569",
            "fax_number": "980-288-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "704-951-4569",
            "fax_number": "980-288-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANVAS & GLOW AESTHETIQ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "GIORDANO",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "CHILDERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-951-4569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.