Organization Active NPI

Restore Hair Loss Salon

  • Dermatology Physician
  • Minnetonka, MN
National Provider Identifier
1881557338
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
RESTORE HAIR LOSS SALON
Practice address
12330 Wayzata Blvd Ste 19
Minnetonka, MN 55305-1919
Phone
(763) 286-3028
NPI assigned
Dec 3, 2025
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Michelle Schumm, HAIR LOSS SPECIALIST
Title
Owner/Hair Loss Specialist
Phone
(763) 286-3028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

12330 Wayzata Blvd Ste 19
Minnetonka, MN 55305-1919

Mailing address

4369 Mazula CT NE
Saint Michael, MN 55376-2413
Phone (763) 286-3028

National Provider Directory

National Provider Directory

Locations

12330 Wayzata Blvd
Ste 19
Minnetonka, MN 55305
Phone (763) 286-3028

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1881557338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 MAZULA CT NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553762413",
            "telephone_number": "763-286-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 WAYZATA BLVD STE 19",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051919",
            "telephone_number": "763-286-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HAIR LOSS SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "SCHUMM",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "763-286-3028",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

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