Organization Active NPI

Sheek Hair Boutique

  • Prosthetic/Orthotic Supplier
  • Fresno, CA
National Provider Identifier
1255938452
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SHEEK HAIR BOUTIQUE
Practice address
1432 N Cedar Ave Apt 107
Fresno, CA 93703-5303
Phone
(559) 712-0988
Fax
(559) 369-7953
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
McKenzie Coles
Title
Owner
Phone
(559) 712-0988

Specialties & licenses 1

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

Addresses

Primary practice location

1432 N Cedar Ave Apt 107
Fresno, CA 93703-5303

Mailing address

1432 N Cedar Ave Apt 107
Fresno, CA 93703-5303
Phone (559) 712-0988

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 4243008457

National Provider Directory

National Provider Directory

Locations

1432 N Cedar Ave
Ste 107
Fresno, CA 93703
Phone (559) 712-0988

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1255938452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 N CEDAR AVE APT 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937035303",
            "telephone_number": "559-712-0988",
            "fax_number": "559-369-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 N CEDAR AVE APT 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937035303",
            "telephone_number": "559-712-0988",
            "fax_number": "559-369-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEK HAIR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-712-0988"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4243008457",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "1432 N Cedar Ave Apt 107",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937035303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.