Organization Active NPI

Wiggin Out Salons

  • Prosthetic/Orthotic Supplier
  • Newport Beach, CA
National Provider Identifier
1265783302
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
WIGGIN OUT SALONS
Practice address
2400 W Coast Hwy
Suite 4
Newport Beach, CA 92663-4700
Phone
(949) 646-9447
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Constance Walsh, OWNER
Title
Owner/President
Phone
(949) 646-9447

Specialties & licenses 1

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

Addresses

Primary practice location

2400 W Coast Hwy
Suite 4
Newport Beach, CA 92663-4700

Mailing address

2400 W Coast Hwy
Suite 4
Newport Beach, CA 92663-4700
Phone (949) 646-9447

Other names 1

  • American Prosthetics & Design Doing business as

National Provider Directory

National Provider Directory

Locations

2400 W Coast Hwy
Ste 4
Newport Beach, CA 92663
Phone (949) 646-9447

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1265783302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W COAST HWY",
            "address_2": "SUITE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634700",
            "telephone_number": "949-646-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W COAST HWY",
            "address_2": "SUITE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634700",
            "telephone_number": "949-646-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGIN OUT SALONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-646-9447",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Prosthetics & Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.