Organization Active NPI

Desired Reflection Permanent Cosmetics & Aesthetics, LLC

  • Contractor
  • Redding, CA
National Provider Identifier
1316631559
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
DESIRED REFLECTION PERMANENT COSMETICS & AESTHETICS, LLC
Doing business as
Desired Reflection Certified Paramedical Artist
Practice address
3404 Bechelli LN Ste E
Redding, CA 96002-2468
Phone
(530) 255-8550
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Erica MurphyNPI 1477247005
Title
Owner
Phone
(530) 255-8550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

3404 Bechelli LN Ste E
Redding, CA 96002-2468

Mailing address

2232 Adirondack Dr
Redding, CA 96001-5931

Other identifiers 1

IdentifierTypeStateIssuer
1477247005OtherCAPROVIDER INDIVIDUAL NPI

Other names 1

  • Desired Reflection Certified Paramedical Artist Doing business as

National Provider Directory

National Provider Directory

Locations

3404 Bechelli Ln
Ste E
Redding, CA 96002
Phone (530) 255-8550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1316631559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 ADIRONDACK DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960015931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 BECHELLI LN STE E",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022468",
            "telephone_number": "530-255-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIRED REFLECTION PERMANENT COSMETICS & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-255-8550"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INDIVIDUAL NPI",
            "identifier": "1477247005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desired Reflection Certified Paramedical Artist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desired Reflection Certified Paramedical Artist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.