Organization Active NPI

Tanning Shack Inc

Doing business as Sun Spa

  • Massage Therapist
  • Lakewood, CO
National Provider Identifier
1346670759
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0014860 Issued in CO
Legal business name
TANNING SHACK INC
Doing business as
Sun Spa
Practice address
1057 S Wadsworth Blvd Ste 90
Lakewood, CO 80226-4362
Phone
(303) 989-3656
Fax
(303) 989-3757
NPI assigned
Nov 21, 2013
Last updated
Nov 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Ms. Beth E Salomonis, LMTNPI 1194152181
Title
Owner
Phone
(303) 989-3656

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
Massage Therapist 225700000X MT.0014860 CO Primary

Addresses

Primary practice location

1057 S Wadsworth Blvd Ste 90
Lakewood, CO 80226-4362

Mailing address

1057 S Wadsworth Blvd Ste 90
Lakewood, CO 80226-4362
Phone (303) 989-3656

Other names 1

  • Sun Spa Doing business as

National Provider Directory

National Provider Directory

Locations

1057 S Wadsworth Blvd
Ste 90
Lakewood, CO 80226
Phone (303) 989-3656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1346670759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 S WADSWORTH BLVD STE 90",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264362",
            "telephone_number": "303-989-3656",
            "fax_number": "303-989-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 S WADSWORTH BLVD STE 90",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802264362",
            "telephone_number": "303-989-3656",
            "fax_number": "303-989-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNING SHACK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "SALOMONIS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-989-3656",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0014860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.