The Rave Hair Salon & Boutique

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE RAVE HAIR SALON & BOUTIQUE

Practice address

3525 NW 23Rd St Ste B
Oklahoma City, OK 73107-2843

Phone

(405) 942-7283

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Raven Ta'Nike Barnes, SPECIALISTNPI 1023735883

Title

Owner

Phone

(405) 942-7283

Specialties & licenses 1

Addresses

Locations

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.

• Raven Ta'Nike Barnes, SPECIALIST

  • Prosthetics Case Management
  • Oklahoma City, OK
  • NPI 1023735883
  NPD Authorized official

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1427775287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 NW 23RD ST STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072843",
            "telephone_number": "405-942-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 NW 23RD ST STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072843",
            "telephone_number": "405-942-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RAVE HAIR SALON & BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "TA'NIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-942-7283",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.