Organization Active NPI

Their Enterprise LLC

  • Prosthetic/Orthotic Supplier
  • Lakeland, FL
National Provider Identifier
1730818147
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THEIR ENTERPRISE LLC
Practice address
122 E Main St # 108
Lakeland, FL 33801-4655
Phone
(863) 899-6696
Fax
(888) 821-8133
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Trenise Nicole Parham
Title
Owner
Phone
(863) 899-6696

Specialties & licenses 1

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

Addresses

Primary practice location

122 E Main St # 108
Lakeland, FL 33801-4655

Mailing address

122 E Main St # 108
Lakeland, FL 33801-4655
Phone (863) 899-6696

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8888218133

National Provider Directory

National Provider Directory

Locations

122 E Main St
#108
Lakeland, FL 33801
Phone (863) 899-6696

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1730818147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST # 108",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014655",
            "telephone_number": "863-899-6696",
            "fax_number": "888-821-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST # 108",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014655",
            "telephone_number": "863-899-6696",
            "fax_number": "888-821-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEIR ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "PARHAM",
        "authorized_official_first_name": "TRENISE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-899-6696"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8888218133",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "122 E Main St # 108",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338014655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.