Organization Active NPI

Our Salon Inc

  • Massage Therapist
  • Princeton, WV
National Provider Identifier
1003138652
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Feb 24, 2010

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.