Organization Active NPI

Mane Stylez Studio 1185

  • Prosthetic/Orthotic Supplier
  • Memphis, TN
National Provider Identifier
1215623673
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MANE STYLEZ STUDIO 1185
Practice address
2298 Young Ave Unit 369
Memphis, TN 38104-5755
Phone
(318) 228-9762
NPI assigned
Apr 17, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Virginia Johnson
Title
Owner
Phone
(318) 228-9762

Specialties & licenses 1

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

Addresses

Primary practice location

2298 Young Ave Unit 369
Memphis, TN 38104-5755

Mailing address

2298 Young Ave Unit 369
Memphis, TN 38104-5755

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9019104869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1215623673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 YOUNG AVE UNIT 369",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2298 YOUNG AVE UNIT 369",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045755",
            "telephone_number": "318-228-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANE STYLEZ STUDIO 1185",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-228-9762"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9019104869",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "2298 Young Ave Unit 369",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381045755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.