Beauty Boutique Hair Salon

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BEAUTY BOUTIQUE HAIR SALON

Practice address

29 S 60TH St
Philadelphia, PA 19139-3004

Phone

(215) 921-2410

NPI assigned

Nov 10, 2022

Last updated

Aug 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nydisha BoydNPI 1710695028

Title

Owner

Phone

(267) 253-7053

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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.

• Nydisha Boyd, COSMETOLOGIST

  • Prosthetist
  • Philadelphia, PA
  • NPI 1710695028
  NPD Authorized official

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1861100638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S 60TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393004",
            "telephone_number": "215-921-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY BOUTIQUE HAIR SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "NYDISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-253-7053"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Beausang, M.D.
• Beaute Within Medical Wig Company
• Beautiful Blessings Home Care Agency LLC
• Beautiful Blessings Support Coordination Agency
• Beautiful People Homecare LLC
• Sylvie Marie Beauvais, LCSW
• Bebashi Transition to Hope
• Bebashi Transition to Hope (Dennis George Caulk Jr.)
• J S Bebee-Wilson, D.C.
• Sheri Bechard, PA-C

• Customized Equipment (DME) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.