Wild Loris LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILD LORIS LLC

Practice address

3204 38TH St NW
Canton, OH 44718-2908

Phone

(440) 725-9786

Fax

(330) 492-5279

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Laurie Kreuz

Title

Owner

Phone

(440) 725-9786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1679343198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 38TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182908",
            "telephone_number": "800-795-1794",
            "fax_number": "330-492-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 38TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182908",
            "telephone_number": "440-725-9786",
            "fax_number": "330-492-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD LORIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "KREUZ",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-725-9786"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Lata Wiggins, MD
• Schield M Wikas, D.O.
• Wilbdone
• Cynthia Elaine Wilcox, PHD
• Madysen Baily Wilcox, P.A.
• Wild Orchids, Inc.
• Tonya Wilder
• Linda Sue Wilds
• Thomas Wiles
• Alexandria Jaeann Wiley

• Durable Medical Equipment & Medical Supplies in Canton, OH
• Providers in Canton, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.