Organization Active NPI

Diamond Crown Beauty Bar

  • Prosthetic/Orthotic Supplier
  • Stone Mountain, GA
National Provider Identifier
1497338073
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DIAMOND CROWN BEAUTY BAR
Practice address
1220 To Lani CT
Stone Mountain, GA 30083
Phone
(770) 374-2467
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Briaunca Lawson
Title
Cranial Prosthesis Specialist
Phone
(770) 374-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1220 To Lani CT
Stone Mountain, GA 30083

Mailing address

1220 To Lani CT
Stone Mountain, GA 30083-5355
Phone (770) 374-2467

Other names 1

  • DCBB Medical Wigs Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1497338073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TO LANI CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835355",
            "telephone_number": "770-374-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 TO LANI CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30083",
            "telephone_number": "770-374-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND CROWN BEAUTY BAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "BRIAUNCA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "770-374-2467"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DCBB Medical Wigs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.