Silver Door Spa Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SILVER DOOR SPA INC

Practice address

762 S Rangeline Rd
Carmel, IN 46032-3035

Phone

(317) 816-7587

NPI assigned

Apr 19, 2013

Last updated

Apr 20, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SILVER DOOR SPA, INCAs reported in NPPES

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

Authorized official

Name

Cortney Reiselman

Title

President

Phone

(614) 571-2901

Specialties & licenses 1

Addresses

Part of

Silver Door Spa Inc

Locations

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366416000000",
    "number": "1578907663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323035",
            "telephone_number": "317-816-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 S RANGELINE RD",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323035",
            "telephone_number": "317-816-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER DOOR SPA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER DOOR SPA, INC",
        "enumeration_date": "2013-04-19",
        "last_updated": "2013-04-20",
        "status": "A",
        "authorized_official_last_name": "REISELMAN",
        "authorized_official_first_name": "CORTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-571-2901"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2013; 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.