Dashaunda Rutledge

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

8111 Concord Mills Blvd Ste 671a
Concord, NC 28027-4400

Phone

(704) 930-3771

NPI assigned

Jan 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sensational Styles 704 LLC

  • Prosthetic/Orthotic Supplier
  • Concord, NC
  • NPI 1912841412
  NPD Authorized official

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1750191821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 BAYFIELD PKWY STE 163",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277597",
            "telephone_number": "937-939-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CONCORD MILLS BLVD STE 671A",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280274400",
            "telephone_number": "704-930-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "DASHAUNDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Russell, MS CCC-SLP
• Mary C. Russell, MD
• Travis Andre Russell, DDS
• Scott Gregory Rusteikas, DO
• Abigail L. Rutkai, LCSW
• RX Central, Inc.
• Jamie K Ryan
• Brent Ryerson
• S & S Pro Express LLC
• S & S Pro Express LLC

• Prosthetic/Orthotic Supplier in Concord, NC
• Providers in Concord, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.