Divine Hair Design Salon & Boutique

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DIVINE HAIR DESIGN SALON & BOUTIQUE

Practice address

2201 W Stan Schlueter Loop Suite a-400
Killeen, TX 76549-7654

Phone

(254) 768-0058

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Jane Horton

Title

Owner

Phone

(254) 768-0058

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1245823459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W STAN SCHLUETER LOOP SUITE A-400",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-768-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W STAN SCHLUETER LOOP SUITE A-400",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765497654",
            "telephone_number": "254-768-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HAIR DESIGN SALON & BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-768-0058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Dickey
• David Dickinson, MD
• Janelle Marie Dietze, RD CSG LD
• Rebecca Ann Dineley
• Divine Care Transportation
• Divine Touch TX PLLC
• Matthew Joseph Dixon
• Amber Jessica Dobbs, LPC ASSOCIATE 102786
• Isabel Dodd
• Elizabeth Dolejs, M.S., CCC/SLP

• Specialist in Killeen, TX
• Providers in Killeen, TX by specialty
• Specialist in Texas

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