Star Kreations Salon Spa

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

STAR KREATIONS SALON SPA

Practice address

124 Newbury St Ste C
Peabody, MA 01960-4067

Phone

(781) 883-0028

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Sithabile Mahlatini, CPS

Title

Owner

Phone

(781) 883-0028

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1134767288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NEWBURY ST STE C",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604067",
            "telephone_number": "781-883-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NEWBURY ST STE C",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019604067",
            "telephone_number": "781-883-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR KREATIONS SALON SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "MAHLATINI",
        "authorized_official_first_name": "SITHABILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-883-0028",
        "authorized_official_credential": "CPS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "75005",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "starkreationssalon@gmail.com",
            "affiliation": "N",
            "address_1": "124 Newbury St Ste C",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019604067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roginald St. Fort
• Kim Marie Stamnas
• Katie Stannard, M.A
• Christopher P. Stanton, PA-C
• Richard Bruce Staples, CAGS, LMHC
• Shelby Anne Stavis
• James F Steen, MD
• Corey G Stein, DDS
• Robert G Stein, D.M.D.
• Susan Stein

• Customized Equipment (DME) in Peabody, MA
• Providers in Peabody, MA by specialty
• Customized Equipment (DME) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.