Active NPI
Restore Hair Loss Salon
- Dermatology Physician
- Minnetonka, MN
National Provider Identifier
1881557338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.