Salon Moodz

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SALON MOODZ

Practice address

7173 Covington Hwy Ste F2
Lithonia, GA 30058-7616

Phone

(770) 696-5830

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly Anderson, SPECIALISTNPI 1679262364

Title

Owner

Phone

(770) 696-5830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Anderson

  • Prosthetics Case Management
  • Lithonia, GA
  • NPI 1679262364
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1083303796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 ROSEBUD RD APT 406",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528951",
            "telephone_number": "770-696-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 COVINGTON HWY STE F2",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300587616",
            "telephone_number": "770-696-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALON MOODZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-696-5830",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.