Organization Active NPI

Jaels Beauty LLC

Doing business as Jaels beauty

  • Prosthetic/Orthotic Supplier
  • Spartanburg, SC
National Provider Identifier
1861080764
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JAELS BEAUTY LLC
Doing business as
Jaels beauty
Practice address
710 S Church St
Spartanburg, SC 29306-5345
Phone
(864) 621-9026
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Keatley MillerNPI 1629618251
Title
Provider
Phone
(864) 621-9026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

710 S Church St
Spartanburg, SC 29306-5345

Mailing address

710 S Church St
Spartanburg, SC 29306-5345
Phone (864) 621-9026

Other names 1

  • Jaels beauty Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.jaelsbeauty.com

National Provider Directory

National Provider Directory

Locations

710 S Church St
Spartanburg, SC 29306
Phone (864) 230-6479

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": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1861080764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065345",
            "telephone_number": "864-621-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065345",
            "telephone_number": "864-621-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAELS BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEATLEY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "864-621-9026"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jaelsbeauty.com",
            "affiliation": "N",
            "address_1": "710 S Church St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293065345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jaels beauty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.