Opulence Hair Salon, PLLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

OPULENCE HAIR SALON, PLLC

Doing business as

Opulence Salon & Day Spa

Practice address

902 Commercial Ave
Anacortes, WA 98221-4115

Phone

(360) 299-0806

Fax

(360) 299-0806

NPI assigned

Mar 18, 2010

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ricky A Conklin

Title

Manager

Phone

(360) 299-0806

Specialties & licenses 1

Addresses

Other names 1

• Opulence Salon & Day Spa Doing business as

Locations

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1639493778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 COMMERCIAL AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214115",
            "telephone_number": "360-299-0806",
            "fax_number": "360-299-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 COMMERCIAL AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214115",
            "telephone_number": "360-299-0806",
            "fax_number": "360-299-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPULENCE HAIR SALON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-299-0806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opulence Salon & Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.