Power Cutz Barber Shop LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

POWER CUTZ BARBER SHOP LLC

Practice address

1256 3Rd Ave S
Myrtle Beach, SC 29577-5538

Phone

(843) 945-4546

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Corey De'Santis Reaves Jr., SPECIALISTNPI 1144934811

Title

Owner

Phone

(803) 504-4067

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey De'Santis Reaves Jr., SPECIALIST

  • Prosthetics Case Management
  • Myrtle Beach, SC
  • NPI 1144934811
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1780398453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 3RD AVE S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775538",
            "telephone_number": "843-945-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 3RD AVE S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775538",
            "telephone_number": "843-945-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER CUTZ BARBER SHOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "DE'SANTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-504-4067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.powercutzbarbershop@gmail.com",
            "affiliation": "N",
            "address_1": "1256 3rd Ave S",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295775538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Bettina Pournaras, M.D
• Vasilios Pournaras, DMD
• Azhane Powell, LISW
• Jessica Lynne Powell
• Lacey Powell
• Lauren Marie Pratt, MD
• Terry Lynn Pratt, FNP-C
• Premise Health of South Carolina Medical PC
• Premise Health of South Carolina Medical, P.C
• William Prenatt, MD

• Durable Medical Equipment & Medical Supplies in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.