Organization Active NPI

Meraki Beauty Supply

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, MN
National Provider Identifier
1497345565
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERAKI BEAUTY SUPPLY
Practice address
14660 13TH Ave N
Plymouth, MN 55447-4521
Phone
(612) 735-1138
NPI assigned
Jan 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Danielle Cyrus
Title
Owner/Operator
Phone
(612) 735-1138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

14660 13TH Ave N
Plymouth, MN 55447-4521

Mailing address

14660 13TH Ave N
Plymouth, MN 55447-4521
Phone (612) 735-1138

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1497345565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14660 13TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474521",
            "telephone_number": "612-735-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 13TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554474521",
            "telephone_number": "612-735-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKI BEAUTY SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "CYRUS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "612-735-1138"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.