=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598614000
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONFIDENT CROWNS HAIR RESTORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/27/2026
-----------------------------------------------------
Last Update Date | 01/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5975 THUNDER RD APT 112
-----------------------------------------------------
City | CONCORD
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28027-8495
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-458-5377
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5975 THUNDER RD APT 112
-----------------------------------------------------
City | CONCORD
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28027-8495
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 980-458-5377
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | MRS. ALETA JOHNSON
-----------------------------------------------------
Credential | NON-PHYSICIAN DME PR
-----------------------------------------------------
Telephone | 704-904-5044
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------