Shear Grace Hair Studio LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHEAR GRACE HAIR STUDIO LLC

Practice address

314 Signal Hill Dr
Statesville, NC 28625-4357

Phone

(704) 450-9104

NPI assigned

Apr 27, 2026

Organization subpart

No

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

Authorized official

Name

Keidra McCulloughNPI 1477499101

Title

Owner

Phone

(704) 450-9104

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.

• Keidra McCullough

  • Specialist
  • Statesville, NC
  • NPI 1477499101
  NPD Authorized official

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1194661769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S MEETING ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286776108",
            "telephone_number": "704-450-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SIGNAL HILL DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254357",
            "telephone_number": "704-450-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEAR GRACE HAIR STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "KEIDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-450-9104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Statesville, NC
• Providers in Statesville, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.