Organization Active NPI

Facets of Beauty Salon and Boutique, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Williamston, NC
National Provider Identifier
1922581651
Registry record updated May 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FACETS OF BEAUTY SALON AND BOUTIQUE, INC.
Practice address
122 Harrison St
Williamston, NC 27892-2464
Phone
(252) 508-6691
NPI assigned
Sep 10, 2018
Last updated
May 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2019

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

Authorized official

Name
Taushima MooreNPI 1649647066
Title
Business Administrator
Phone
(252) 508-6691

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

122 Harrison St
Williamston, NC 27892-2464

Mailing address

PO Box 13
Williamston, NC 27892-0013
Phone (252) 508-6691

Other identifiers 1

IdentifierTypeStateIssuer
1922581651OtherNCNPI

National Provider Directory

National Provider Directory

Locations

122 Harrison St
Williamston, NC 27892
Phone (252) 508-6691

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": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558224000000",
    "number": "1922581651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278920013",
            "telephone_number": "252-508-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HARRISON ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922464",
            "telephone_number": "252-508-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACETS OF BEAUTY SALON AND BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-05-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TAUSHIMA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "252-508-6691"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922581651",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2019; 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.