Precision Scalp Hair LLC

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

PRECISION SCALP HAIR LLC

Practice address

6040 Earle Brown Dr Ste 104
Brooklyn Center, MN 55430-2523

Phone

(612) 461-4703

NPI assigned

Feb 4, 2026

Organization subpart

No

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

Authorized official

Name

Shavon Rush

Title

Owner

Phone

(612) 461-9724

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1891646071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 104",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302523",
            "telephone_number": "612-461-9724",
            "fax_number": "612-416-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 EARLE BROWN DR STE 104",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302523",
            "telephone_number": "612-461-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SCALP HAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "SHAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-461-9724"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Prosthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.