1. Home
  2. Directory
  3. North Carolina
  4. Fayetteville
  5. Prosthetist
  6. NPI Profile

PURE GOLD LUXZ HAIR BEAUTY LUXURY
NPI 1306400759
Prosthetist in Fayetteville, NC

Active since April 30, 2019
508 OWEN DR, FAYETTEVILLE, NC 28304(910) 479-6214 Get Directions Write a Review

NPPES record last updated: August 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2019, Apr 30, 2019 (2 updates tracked since 2019).

About Pure Gold Luxz Hair Beauty Luxury NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE GOLD LUXZ HAIR BEAUTY LUXURY (NPI 1306400759) is a healthcare organization registered as a prosthetist in Fayetteville, North Carolina and active in the NPI registry since April 2019. The organization lists Fatia Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1306400759
Entity TypeOrganization
Primary Taxonomy224P00000X
Legal Business NamePURE GOLD LUXZ HAIR BEAUTY LUXURY
Location Address508 OWEN DRFayetteville, NC 28304-3417
Mailing Address6245 Lakehaven DrFayetteville, NC 28304-0610 · (201) 892-2678
Phone(910) 479-6214
Organization SubpartNo
Authorized OfficialFatia RussellOwner · (201) 892-2678
Enumeration DateApril 30, 2019
Last NPPES UpdateAugust 31, 20192 updates tracked since enumeration
✔ NPI 1306400759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
508 OWEN DR, Fayetteville, NC 28304
Open in Google Maps ↗

Other Identifiers 1

Medicaid1356843379NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Gold Luxz Hair Beauty Luxury's NPI number?

The NPI number for Pure Gold Luxz Hair Beauty Luxury is 1306400759. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Pure Gold Luxz Hair Beauty Luxury located?

Pure Gold Luxz Hair Beauty Luxury is located at 508 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 479-6214.

What is Pure Gold Luxz Hair Beauty Luxury's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Pure Gold Luxz Hair Beauty Luxury was last updated on August 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.