The Perfect Image Beauty Bar LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE PERFECT IMAGE BEAUTY BAR LLC

Practice address

2201 W Stan Schlueter Loop
A-400
Killeen, TX 76549

Phone

(254) 629-0064

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Dominic Purvis

Title

Owner

Phone

(254) 462-3639

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelanda Purvis, SPECIALIST

  • Specialist
  • Killeen, TX
  • NPI 1790471746
  NPD

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1942998265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 YAUPON RD APT B",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765227952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W STAN SCHLUETER LOOP",
            "address_2": "A-400",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76549",
            "telephone_number": "254-629-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERFECT IMAGE BEAUTY BAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-462-3639"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Killeen, TX
• Providers in Killeen, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.