Active NPI
Salon Hair Forte
- Customized Equipment (DME)
- Dunn, NC
National Provider Identifier
1639879745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- SALON HAIR FORTE
- Practice address
- 1411 W Cumberland St
Dunn, NC 28334-4503 - Phone
- (919) 464-0355
- NPI assigned
- Mar 7, 2023
- 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
- Ms. Gwendolyn C Coxum
- Title
- Owner
- Phone
- (919) 464-0355
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Research Clinic/Center | 261QR1100X | |||
| VA Clinic/Center | 261QV0200X | |||
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
1411 W Cumberland St
Dunn, NC 28334-4503
Mailing address
604 Tilghman Dr Apt 5B
Dunn, NC 28334-5528
Phone (919) 464-0355
National Provider Directory
National Provider DirectoryLocations
1411 W Cumberland St
Dunn, NC 28334
Phone (919) 464-0355
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Dunn, NC
- NPI 1497455612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1639879745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 TILGHMAN DR APT 5B",
"city": "DUNN",
"state": "NC",
"postal_code": "283345528",
"telephone_number": "919-464-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 W CUMBERLAND ST",
"city": "DUNN",
"state": "NC",
"postal_code": "283344503",
"telephone_number": "919-464-0355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALON HAIR FORTE",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "COXUM",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-464-0355",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunn, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.