Organization Active NPI

Dream Hair Care

  • Prosthetic/Orthotic Supplier
  • Hattiesburg, MS
National Provider Identifier
1154945418
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DREAM HAIR CARE
Practice address
4401 W 4TH St Ste E
Hattiesburg, MS 39402-1006
Phone
(601) 618-5467
Fax
(208) 400-5298
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Authorized official

Name
Darnisha Winters
Title
Owner
Phone
(601) 618-5467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4401 W 4TH St Ste E
Hattiesburg, MS 39402-1006

Mailing address

4401 W 4TH St Ste E
Hattiesburg, MS 39402-1006
Phone (601) 618-5467

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2084005298

National Provider Directory

National Provider Directory

Locations

4401 W 4th St
#E
Hattiesburg, MS 39402
Phone (601) 618-5467

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1154945418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W 4TH ST STE E",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021006",
            "telephone_number": "601-618-5467",
            "fax_number": "208-400-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W 4TH ST STE E",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021006",
            "telephone_number": "601-618-5467",
            "fax_number": "208-400-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM HAIR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "DARNISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-618-5467"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2084005298",
            "affiliation": "N",
            "endpointDescription": "fax #",
            "address_1": "4401 W 4th St Ste E",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394021006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.