NPIMap

Organization Active NPI

Xtend My Hair Salon & Co LLC

  • Durable Medical Equipment & Medical Supplies
  • Malvern, AR
National Provider Identifier
1710623863
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
XTEND MY HAIR SALON & CO LLC
Practice address
1004 Dyer St
Malvern, AR 72104-5255
Phone
(501) 229-1008
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Terrence Randell MitchellNPI 1659907707
Title
Owner
Phone
(501) 732-6041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1004 Dyer St
Malvern, AR 72104-5255

Mailing address

1004 Dyer St
Malvern, AR 72104-5255
Phone (501) 229-1008

National Provider Directory

National Provider Directory
Tax ID family
Xtend My Hair Salon Co LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1710623863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 DYER ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045255",
            "telephone_number": "501-229-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 DYER ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721045255",
            "telephone_number": "501-229-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTEND MY HAIR SALON & CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "RANDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-732-6041"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.