Organization Active NPI

Total Transformation Virgin Hair

  • Prosthetic/Orthotic Supplier
  • Grand Rapids, MI
National Provider Identifier
1912570318
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TOTAL TRANSFORMATION VIRGIN HAIR
Doing business as
Total Transformation Virgin Hair
Practice address
2035 28TH St SE Ste D
Grand Rapids, MI 49508-1549
Phone
(616) 719-0401
NPI assigned
Jul 22, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Mr. Timothy L Woodson
Title
Owner/Perruquier
Phone
(616) 726-0193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

2035 28TH St SE Ste D
Grand Rapids, MI 49508-1549

Mailing address

2035 28TH St SE Ste D
Grand Rapids, MI 49508-1549
Phone (616) 719-0401

Other names 1

  • Total Transformation Virgin Hair Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL transformationvirginhair@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

2035 28th St SE
Ste D
Grand Rapids, MI 49508
Phone (616) 719-0401

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1912570318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 28TH ST SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081549",
            "telephone_number": "616-719-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 28TH ST SE STE D",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081549",
            "telephone_number": "616-719-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL TRANSFORMATION VIRGIN HAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PERRUQUIER",
        "authorized_official_telephone_number": "616-726-0193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "transformationvirginhair@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2035 28th St SE Ste D",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495081549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Total Transformation Virgin Hair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.