Debras Hair Studio LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DEBRAS HAIR STUDIO LLC

Practice address

1516 Bypass 72 NE Ste D
Greenwood, SC 29649

Phone

(864) 993-4545

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Debra Wright Moton

Title

Owner

Phone

(864) 993-4545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1982141115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 BYPASS 72 NE STE D",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492268",
            "telephone_number": "864-993-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 BYPASS 72 NE STE D",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-993-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRAS HAIR STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "MOTON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-993-4545"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Davis
• Jeanette Davis
• Laureen Dawson-Riley, REGISTERED NURSE
• Allie Grace Day
• Jeffrey Alan Dean Sr., MD
• Melissa Manley Decker
• Trevoria Jamiya Dendy, PHARMD
• Denise B. Stanley, Lisw-CP, LLC
• Dennis J Doud MD PA
• Gianna Derosa

• Prosthetic/Orthotic Supplier in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.