NPIMap

Organization Active NPI

Changes Styling Salon

  • Prosthetics Case Management
  • Dillon, SC
National Provider Identifier
1043855976
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
CHANGES STYLING SALON
Practice address
1256 W Main St
Dillon, SC 29536-7926
Phone
(843) 774-0170
NPI assigned
Nov 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Sheila Boatwright
Title
Owner
Phone
(843) 774-0170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

1256 W Main St
Dillon, SC 29536-7926

Mailing address

PO Box 646
Darlington, SC 29540-0646

National Provider Directory

National Provider Directory

Locations

1256 W Main St
Dillon, SC 29536
Phone (843) 774-0170

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1043855976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295400646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 W MAIN ST",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295367926",
            "telephone_number": "843-774-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES STYLING SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "BOATWRIGHT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-774-0170"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.