Skyline Hair Salon LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SKYLINE HAIR SALON LLC

Practice address

5959 Triangle Town Blvd # Du-2174
Raleigh, NC 27616-3268

Phone

(919) 752-0906

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Tracey R Silver

Title

Owner

Phone

(919) 752-0906

Specialties & licenses 1

Addresses

Other names 1

• SkyLine Hair Salon LLc Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1326710104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 TRIANGLE TOWN BLVD # DU-2174",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163268",
            "telephone_number": "919-752-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 TRIANGLE TOWN BLVD # DU-2174",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163268",
            "telephone_number": "919-752-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE HAIR SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-752-0906"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "919-752-0906",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "5959 Triangle Town Blvd # Du-2174",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276163268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SkyLine Hair Salon LLc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ann Rector Slade, PHARMACIST
• Kiera Ru'Shelle Slade, FNP-BC, PMHNP-BC
• Richard Cline Sladich, LCMHC
• Clark Slagle, PHD
• Lori Beth Slagle

• Prosthetic/Orthotic Supplier in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.