OrganizationActive
Bedazzled Salon and Spa
NPI 1124309919 · Specialist · Roscoe, IL
Bedazzled Salon and Spa is a Specialist organization in Roscoe, IL (NPI 1124309919).
Provider details
- NPI number
- 1124309919
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Anthony Jenkins, Owner(815) 389-4965
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11708 Main St
Roscoe, IL 61073-9566
Phone: (815) 389-4965
Street-level locationGet directions
Mailing address
11708 Main St
Roscoe, IL 61073-9566
Registry dates
- Enumerated
- 2011-09-07
- Last updated
- 2011-09-07
Frequently asked questions
- What is Bedazzled Salon and Spa's NPI number?
- Bedazzled Salon and Spa's National Provider Identifier (NPI) is 1124309919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bedazzled Salon and Spa?
- Bedazzled Salon and Spa is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Bedazzled Salon and Spa located?
- Bedazzled Salon and Spa's practice location on file with NPPES is 11708 Main St, Roscoe, IL 61073-9566.
- What is Bedazzled Salon and Spa's phone number?
- The practice phone number listed in the NPPES registry for Bedazzled Salon and Spa is (815) 389-4965.
- Who is the authorized official for Bedazzled Salon and Spa?
- The authorized official listed on Bedazzled Salon and Spa's NPPES record is Anthony Jenkins, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bedazzled Salon and Spa's NPI active?
- Yes — Bedazzled Salon and Spa's NPI (1124309919) is active in the NPPES registry as of the last update on 2011-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.