Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SPA DAZZLE BEAUTY & WELLNESS PRACTICE
NPI 1972409142
Prosthetic/Orthotic Supplier in Ormond Beach, FL

Active since October 15, 2026
1030 N US HIGHWAY 1, ORMOND BEACH, FL 32174(386) 675-5333 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spa Dazzle Beauty & Wellness Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPA DAZZLE BEAUTY & WELLNESS PRACTICE (NPI 1972409142) is a healthcare organization registered as a prosthetic/orthotic supplier in Ormond Beach, Florida and active in the NPI registry since October 2026. The organization lists Samantha Genine Taylor, President, as its authorized official.

NPPES Registry Identity

NPI1972409142
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSPA DAZZLE BEAUTY & WELLNESS PRACTICE
Location Address1030 N US HIGHWAY 1Ormond Beach, FL 32174-4288
Mailing Address1030 N Us Highway 1Ormond Beach, FL 32174-4288 · (386) 675-5333
Organization SubpartNo
Authorized OfficialSamantha Genine TaylorPresident · (386) 675-5333
Enumeration DateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1972409142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1030 N US HIGHWAY 1, Ormond Beach, FL 32174

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spa Dazzle Beauty & Wellness Practice's NPI number?

The NPI number for Spa Dazzle Beauty & Wellness Practice is 1972409142. It was assigned to this organization in the NPPES registry on October 15, 2026.

Where is Spa Dazzle Beauty & Wellness Practice located?

Spa Dazzle Beauty & Wellness Practice is located at 1030 N Us Highway 1, Ormond Beach, FL 32174. The listed phone number is (386) 675-5333.

What is Spa Dazzle Beauty & Wellness Practice's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Spa Dazzle Beauty & Wellness Practice was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.