Organization Active NPI

Raw Elegance Hair Solutions

  • Prosthetics Case Management
  • Florissant, MO
National Provider Identifier
1912383605
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
2014011967 Issued in MO
Legal business name
RAW ELEGANCE HAIR SOLUTIONS
Practice address
2955 Patterson Rd
Florissant, MO 63031-1415
Phone
(314) 299-8926
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Ms. Gloris Martin, HAIR LOSS SPECIALIST
Title
Owner
Phone
(314) 299-8926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 2014011967 MO Primary

Addresses

Primary practice location

2955 Patterson Rd
Florissant, MO 63031-1415

Mailing address

2955 Patterson Rd
Florissant, MO 63031-1415
Phone (314) 299-8926

Other names 1

  • House of Raw Elegance Hair Solutions Other name

National Provider Directory

National Provider Directory

Locations

2955 Patterson Rd
Florissant, MO 63031
Phone (314) 299-8926

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1912383605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 PATTERSON RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311415",
            "telephone_number": "314-299-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 PATTERSON RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311415",
            "telephone_number": "314-299-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAW ELEGANCE HAIR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GLORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-299-8926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MO",
            "license": "2014011967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House of Raw Elegance Hair Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.