Salon No. 5 LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SALON NO. 5 LLC

Practice address

3821 Vaile Ave
Florissant, MO 63034-2227

Phone

(314) 736-4112

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Whitney WitherspoonNPI 1417458662

Title

Owner

Phone

(314) 438-7176

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Whitney Marie Witherspoon

  • Prosthetist
  • Florissant, MO
  • NPI 1417458662
  NPD (past) Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1952870933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 VAILE AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 VAILE AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342227",
            "telephone_number": "314-736-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALON NO. 5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-438-7176"
    },
    "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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• June Sanders

• Specialist in Florissant, MO
• Providers in Florissant, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.