Scalp Structure Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SCALP STRUCTURE CENTER

Practice address

2808 Lavista Rd
Decatur, GA 30033-1325

Phone

(954) 305-4061

NPI assigned

Dec 26, 2022

Organization subpart

Yes

Parent organization

ONYX & MANE CUSTOMS LLCAs reported in NPPES

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

Authorized official

Name

Onyx and Mane Customs LLC, SPECIALIST

Title

Master Cosmotologist

Phone

(954) 305-4061

Specialties & licenses 1

Addresses

Other names 1

• Onyx and Mane Customs LLC Other name

Part of

Onyx Mane Customs LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Onyx & Mane Customs LLC

  dba Onyx and Mane Customs LLC

  • Specialist
  • Augusta, GA
  • NPI 1861105637
  NPPES parent name

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1932812708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 DEANS BRIDGE RD STE C",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309062767",
            "telephone_number": "954-305-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 LAVISTA RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331325",
            "telephone_number": "954-305-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCALP STRUCTURE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONYX & MANE CUSTOMS LLC",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "LLC",
        "authorized_official_first_name": "ONYX AND MANE",
        "authorized_official_middle_name": "CUSTOMS",
        "authorized_official_title_or_position": "MASTER COSMOTOLOGIST",
        "authorized_official_telephone_number": "954-305-4061",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onyx and Mane Customs LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sruthi Satishchandran, DMD
• Maura Ann Savage, LCSW
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• Jeremy Sawyers
• Say So Private Home Care Services, LLC
• Michael Scarborough, FNP-C
• Daniel Matthew Schachter, MD
• Amy Kathryn Schaeffer
• Theresa M Schaffer, LCSW
• Priya Ramamurthy Schaffner, FNP-C

• Specialist in Decatur, GA
• Providers in Decatur, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.