B&G Beauty Company LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

B&G BEAUTY COMPANY LLC

Practice address

3234 S. Wadsworth Blvd.
Unit a
Lakewood, CO 80227-8022

Phone

(303) 955-4882

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Glen Antwiler

Title

Owner

Phone

(303) 946-4602

Specialties & licenses 1

Addresses

Other names 1

• Immerse Spa and Salon Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Andrew Frazier, LMT

  • Massage Therapist
  • Lakewood, CO
  • NPI 1073396669
  NPD

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1992578025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 KEEPSAKE WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093945",
            "telephone_number": "303-946-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 S. WADSWORTH BLVD.",
            "address_2": "UNIT A",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802278022",
            "telephone_number": "303-955-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&G BEAUTY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "ANTWILER",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-946-4602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immerse Spa and Salon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Michelle Ayotte
• Ayumind LLC
• Zachary Azimi, DPT
• Azura of Lakewood
• Azura of Lakewood, LLC
• Khatantuul Baatarsukh, LMT
• Cynthia Louise Babb, RN, BSN
• Ashley Nichole Babjack, MA LPC
• Daniel Bach, DPT
• Back Country Chiropractic Inc.

• Massage Therapist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.