Active NPI
Dollhouse Beauty Salon & Boutique
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
National Provider Identifier
1548007990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DOLLHOUSE BEAUTY SALON & BOUTIQUE
- Practice address
- 3018 Long Pines Dr
Shreveport, LA 71119-3413 - Phone
- (318) 564-7672
- NPI assigned
- Jul 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tasha Williams
- Title
- Owner
- Phone
- (318) 564-7672
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3018 Long Pines Dr
Shreveport, LA 71119-3413
Mailing address
6331 Westport Ave
Shreveport, LA 71129-2415
Phone (318) 655-1154
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 224P00000X | Other | LA | DURABLE MEDICAL EQUIPMENT |
National Provider Directory
National Provider DirectoryLocations
6331 Westport Ave
Shreveport, LA 71129
Phone (318) 671-0310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Shreveport, LA
- NPI 1972140234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720742400000",
"number": "1548007990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6331 WESTPORT AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711292415",
"telephone_number": "318-655-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 LONG PINES DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711193413",
"telephone_number": "318-564-7672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOLLHOUSE BEAUTY SALON & BOUTIQUE",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TASHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-564-7672",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DURABLE MEDICAL EQUIPMENT",
"identifier": "224P00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.