Active NPI
Our Salon Inc
- Massage Therapist
- Princeton, WV
National Provider Identifier
1003138652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- OUR SALON INC
- Practice address
- 1243 Stafford Dr
Princeton, WV 24740-2480 - Phone
- (304) 920-5513
- NPI assigned
- Feb 24, 2010
- 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
- Cameron M Pennington
- Title
- President
- Phone
- (304) 920-5513
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
1243 Stafford Dr
Princeton, WV 24740-2480
Mailing address
PO Box 5071
Princeton, WV 24740-5071
Phone (304) 920-5513
Other names 1
- Escape Salon and Medical Spa
National Provider Directory
National Provider DirectoryLocations
1243 Stafford Dr
Princeton, WV 24740
Phone (304) 920-5513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266969600000",
"number": "1003138652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5071",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247405071",
"telephone_number": "304-920-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 STAFFORD DR",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402480",
"telephone_number": "304-920-5513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR SALON INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A",
"authorized_official_last_name": "PENNINGTON",
"authorized_official_first_name": "CAMERON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-920-5513"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Escape Salon and Medical Spa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.