Organization Active NPI

Dollhouse Beauty Salon & Boutique

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1548007990
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Mrs. Tasha WilliamsNPI 1972140234
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
224P00000XOtherLADURABLE MEDICAL EQUIPMENT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.