Active NPI
Hair & Scalp Restoration Center
- Prosthetic/Orthotic Supplier
- Jackson, MS
National Provider Identifier
1962010645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- HAIR & SCALP RESTORATION CENTER
- Practice address
- 246 Briarwood Dr Ste 102
Jackson, MS 39206-3027 - Phone
- (662) 590-6605
- Fax
- (769) 922-5992
- NPI assigned
- Jul 17, 2020
- 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
- Meko Carter
- Title
- Owner
- Phone
- (662) 590-6605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
246 Briarwood Dr Ste 102
Jackson, MS 39206-3027
Mailing address
726 W Madison St
Yazoo City, MS 39194-3483
Phone (662) 590-6605
Other names 1
- Hair & Scalp Restoration Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 7699225992 |
National Provider Directory
National Provider DirectoryLocations
246 Briarwood Dr
#102
Jackson, MS 39206
Phone (662) 590-6605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1962010645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 W MADISON ST",
"city": "YAZOO CITY",
"state": "MS",
"postal_code": "391943483",
"telephone_number": "662-590-6605",
"fax_number": "769-022-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 BRIARWOOD DR STE 102",
"city": "JACKSON",
"state": "MS",
"postal_code": "392063027",
"telephone_number": "662-590-6605",
"fax_number": "769-922-5992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAIR & SCALP RESTORATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-17",
"last_updated": "2021-12-15",
"certification_date": "2021-12-13",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "MEKO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-590-6605"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "7699225992",
"affiliation": "N",
"endpointDescription": "Fax #",
"address_1": "246 Briarwood Dr Ste 102",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392063027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Hair & Scalp Restoration Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Hair & Scalp Restoration Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.