Salon Sa- Treice LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SALON SA- TREICE LLC

Practice address

1923 W US Highway 50
Fairview Heights, IL 62208-2927

Phone

(618) 628-9499

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By 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

Samantha Brown, MPCNPI 1427504109

Title

Owner

Phone

(618) 628-9499

Specialties & licenses 1

Addresses

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.

• Samantha Brown, DME

  • Durable Medical Equipment & Medical Supplies
  • Fairview Heights, IL
  • NPI 1427504109
  Authorized official Same address or phone

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1174427637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 W US HIGHWAY 50",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082927",
            "telephone_number": "618-628-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 W US HIGHWAY 50",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082927",
            "telephone_number": "618-628-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALON SA- TREICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-628-9499",
        "authorized_official_credential": "MPC"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy E Routh
• Tatiana Routt
• James Patrick Rybak, M.D.
• Sheena Nicole Sadlowski, CMA
• Taylor Sallis
• Margaret Samson, MA. QMHP
• Allison Schaal, DPT
• Jeffrey Michael Schenck, DO
• Octavia Scott
• Kirsten Joy Settle, RN

• Durable Medical Equipment & Medical Supplies in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.