Organization Active NPI

Joyce'S Wig Villa Inc

  • Prosthetic/Orthotic Supplier
  • Orlando, FL
National Provider Identifier
1184099798
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JOYCE'S WIG VILLA INC
Doing business as
Wig Villa
Practice address
4992 E Colonial Dr
Orlando, FL 32803-4312
Phone
(407) 894-7174
NPI assigned
Dec 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Helen Kwak
Title
Manager
Phone
(407) 894-7174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4992 E Colonial Dr
Orlando, FL 32803-4312

Mailing address

4992 E Colonial Dr
Orlando, FL 32803-4312
Phone (407) 894-7174

Other names 1

  • Wig Villa Doing business as

National Provider Directory

National Provider Directory

Locations

4992 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-7174

NPI Registry JSON

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1184099798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4992 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034312",
            "telephone_number": "407-894-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4992 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034312",
            "telephone_number": "407-894-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYCE'S WIG VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-894-7174"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wig Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.