Active NPI
Sassy Hair
- Durable Medical Equipment & Medical Supplies
- Tyrone, GA
National Provider Identifier
1821410259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SASSY HAIR
- Practice address
- 130 Howell Rd
Suite E
Tyrone, GA 30290-6800 - Phone
- (770) 631-1600
- NPI assigned
- Jan 21, 2014
- 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
- Kaye Liston
- Title
- Owner/Provider
- Phone
- (770) 631-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
130 Howell Rd
Suite E
Tyrone, GA 30290-6800
Mailing address
130 Howell Rd
Suite E
Tyrone, GA 30290-6800
Phone (770) 631-1600
National Provider Directory
National Provider DirectoryLocations
130 Howell Rd
Ste E
Tyrone, GA 30290
Phone (770) 631-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390262400000",
"number": "1821410259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HOWELL RD",
"address_2": "SUITE E",
"city": "TYRONE",
"state": "GA",
"postal_code": "302906800",
"telephone_number": "770-631-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HOWELL RD",
"address_2": "SUITE E",
"city": "TYRONE",
"state": "GA",
"postal_code": "302906800",
"telephone_number": "770-631-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SASSY HAIR",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A",
"authorized_official_last_name": "LISTON",
"authorized_official_first_name": "KAYE",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "770-631-1600"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.