Organization Active NPI

Irene Stephens Dba Irenes Shear Madness

  • Prosthetic/Orthotic Supplier
  • Columbia, SC
National Provider Identifier
1295110054
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
29166 Issued in SC
Legal business name
IRENE STEPHENS DBA IRENES SHEAR MADNESS
Practice address
2000 Clemson Rd
Suite 5
Columbia, SC 29229-9538
Phone
(803) 788-7832
NPI assigned
Jul 22, 2015
Organization subpart
Yes
Parent organization
THE MANE ATTRACTION ON CLEMSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Irene A. Stephens
Title
Owner
Phone
(803) 788-7832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 29166 SC Primary

Addresses

Primary practice location

2000 Clemson Rd
Suite 5
Columbia, SC 29229-9538

Mailing address

2000 Clemson Rd
Suiteb 5
Columbia, SC 29229-9538
Phone (803) 788-7832

Other names 1

  • Irenes Shear Madness Other name

National Provider Directory

National Provider Directory
Part of
The Mane Atrraction on Clemson

Locations

2000 Clemson Rd
Ste 5
Columbia, SC 29229
Phone (803) 788-7832

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1295110054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CLEMSON RD",
            "address_2": "SUITEB 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299538",
            "telephone_number": "803-788-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLEMSON RD",
            "address_2": "SUITE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299538",
            "telephone_number": "803-788-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE STEPHENS DBA IRENES SHEAR MADNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MANE ATTRACTION ON CLEMSON",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-788-7832"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": "29166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irenes Shear Madness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.