Glam Chix, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1204017518 Issued in VA

Legal business name

GLAM CHIX, LLC

Practice address

7424 Brook Rd Ste D
Richmond, VA 23227-1817

Phone

(804) 484-0292

NPI assigned

Feb 6, 2018

Organization subpart

No

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

Authorized official

Name

Gwendolyn Rodriguez

Title

Owner/Ceo

Phone

(804) 484-0292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1922507870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 LUSBYS LN",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206137680",
            "telephone_number": "804-484-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 BROOK RD STE D",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271817",
            "telephone_number": "804-484-0292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Brook Rd Ste 142",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230596536",
            "country_code": "US",
            "telephone_number": "804-262-2449",
            "fax_number": "804-262-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLAM CHIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "804-484-0292"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "1204017518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah H Glass, D.D.S.

• Customized Equipment (DME) in Richmond, VA
• Providers in Richmond, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.