Active NPI
Total Transformation Virgin Hair
- Prosthetic/Orthotic Supplier
- Grand Rapids, MI
National Provider Identifier
1912570318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2021
- 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
- Mr. Timothy L Woodson
- Title
- Owner/Perruquier
- Phone
- (616) 726-0193
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | transformationvirginhair@gmail.com | Direct |
National Provider Directory
National Provider DirectoryLocations
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
- Jo-Ann N Torres
- Johannie Margarita Torres, FNP
- Kelly Margaret Torres, AGACNP-BC
- Jennifer Lynn Toschkoff, OTRL
- Total Renal Care Inc (Alger Heights Dialysis)
- Total Wellness Integrated Healthcare Centers of Grand Rapids PLLC (Total Wellness of Grand Rapids)
- Allison Margaret Toth, NP
- Rebecca Sue Toth
- Anthony Gerard Totoraitis, R.PH.
- Maranda Lynae Totten
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.