Madame la Belle Wigs & Beauty Lounge, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MADAME LA BELLE WIGS & BEAUTY LOUNGE, LLC

Practice address

506 S Independence Blvd Ste 100
Virginia Beach, VA 23452-1154

Phone

(757) 478-0102

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Shelly WarrenNPI 1689435802

Title

Owner

Phone

(757) 478-0102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly L Warren

  • Prosthetic/Orthotic Supplier
  • Virginia Beach, VA
  • NPI 1689435802
  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1801658208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S INDEPENDENCE BLVD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521154",
            "telephone_number": "757-478-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S INDEPENDENCE BLVD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521154",
            "telephone_number": "757-478-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADAME LA BELLE WIGS & BEAUTY LOUNGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-478-0102"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivetta B Maclin, D.D.S.
• Macmur Healthcare Consulting, PLLC
• Christina Macomber
• Laurie M. Macpherson, CNM
• Adalia D Macrall
• Alexandra Madden, DPT
• Harmony M Madden, PA-C
• Jazzmin Star Maddox, LPC
• Kristen Elizabeth Maddux, DDS
• Nicholas Maddux, D.D.S.

• Prosthetic/Orthotic Supplier in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.