Organization Active NPI

Inspired Designs Hair Salon & Barbershop & Spa LLC

Doing business as Inspired Designs Hair Loss & Hair Replacement Services

  • Prosthetics Case Management
  • Killeen, TX
National Provider Identifier
1710494802
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
1178165 Issued in TX
Legal business name
INSPIRED DESIGNS HAIR SALON & BARBERSHOP & SPA LLC
Doing business as
Inspired Designs Hair Loss & Hair Replacement Services
Practice address
3901 E Stan Schlueter Loop Ste 201
Killeen, TX 76542-4554
Phone
(254) 220-9921
Fax
(254) 731-4232
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Derina Lavette Garcia, CHRS
Title
Certified Hair Replacement Speciali
Phone
(254) 220-9921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X 1178165 TX Primary

Addresses

Primary practice location

3901 E Stan Schlueter Loop Ste 201
Killeen, TX 76542-4554

Mailing address

5214 Siltstone Loop
Killeen, TX 76542-5815
Phone (254) 220-9921

Other identifiers 1

IdentifierTypeStateIssuer
1669920575OtherTXNPI

Other names 2

  • INSPIRED DESIGNS HAIR LOSS & HAIR REPLACEMENT SERVICES Doing business as
  • INSPIRED DESIGNS HAIR SALON, HAIR LOSS & HAIR REPLACEMENT CENTER Other name

National Provider Directory

National Provider Directory

Locations

3901 E Stan Schlueter Loop
Ste 201
Killeen, TX 76542
Phone (254) 220-9921

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1710494802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 SILTSTONE LOOP",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425815",
            "telephone_number": "254-220-9921",
            "fax_number": "254-731-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 E STAN SCHLUETER LOOP STE 201",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765424554",
            "telephone_number": "254-220-9921",
            "fax_number": "254-731-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED DESIGNS HAIR SALON & BARBERSHOP & SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DERINA",
        "authorized_official_middle_name": "LAVETTE",
        "authorized_official_title_or_position": "CERTIFIED HAIR REPLACEMENT SPECIALI",
        "authorized_official_telephone_number": "254-220-9921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHRS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "1178165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669920575",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSPIRED DESIGNS HAIR LOSS & HAIR REPLACEMENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INSPIRED DESIGNS HAIR SALON, HAIR LOSS & HAIR REPLACEMENT CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.