Organization Active NPI

Salon Dejuan LLC

  • Prosthetic/Orthotic Supplier
  • Temple Hills, MD
National Provider Identifier
1457852600
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SALON DEJUAN LLC
Practice address
3737 Branch Ave Ste D14
Temple Hills, MD 20748-1405
Phone
(202) 802-3098
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Ms. Dejuan Burns, COSMETOLOGISTNPI 1013275445
Title
Owner
Phone
(202) 802-3098

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
Prosthetic/Orthotic Supplier 335E00000X MD Primary

Addresses

Primary practice location

3737 Branch Ave Ste D14
Temple Hills, MD 20748-1405

Mailing address

6600 Horseshoe Rd
Clinton, MD 20735-2537
Phone (202) 802-3098

National Provider Directory

National Provider Directory

Locations

3737 Branch Ave
Ste D14
Temple Hills, MD 20748
Phone (202) 802-3098

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": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1457852600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 HORSESHOE RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352537",
            "telephone_number": "202-802-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 BRANCH AVE STE D14",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481405",
            "telephone_number": "202-802-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALON DEJUAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "DEJUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-802-3098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.