Oriental Wellness Center & Spa

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

684-055 Issued in WI

Legal business name

ORIENTAL WELLNESS CENTER & SPA

Practice address

W249 N5245 Executive Dr.
Suite 208
Sussex, WI 53089

Phone

(262) 691-8888

NPI assigned

Jul 30, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Phebe Soon Purnell, ALC

Title

Owner

Phone

(262) 691-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1144508730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W249 N5245 EXECUTIVE DR.",
            "address_2": "SUITE 208",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "53089",
            "telephone_number": "262-691-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W249 N5245 EXECUTIVE DR.",
            "address_2": "SUITE 208",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "53089",
            "telephone_number": "262-691-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIENTAL WELLNESS CENTER & SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "PHEBE",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-691-8888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "684-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Sussex, WI
• Providers in Sussex, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.