Active NPI
Red'S Shoe Barn, Inc.
- Prosthetic/Orthotic Supplier
- Dover, NH
National Provider Identifier
1003075987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- RED'S SHOE BARN, INC.
- Practice address
- 35 Broadway
Dover, NH 03820-3217 - Phone
- (603) 742-1893
- Fax
- (603) 742-9133
- NPI assigned
- Jun 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela J. Cullen
- Title
- It Manager
- Phone
- (603) 742-1893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
35 Broadway
Dover, NH 03820-3217
Mailing address
35 Broadway
Dover, NH 03820-3217
Phone (603) 742-1893
National Provider Directory
National Provider DirectoryLocations
35 Broadway
Dover, NH 03820
Phone (603) 742-1893
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Prosthetic/Orthotic Supplier
- Plaistow, NH
- NPI 1760762439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290384000000",
"number": "1003075987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BROADWAY",
"city": "DOVER",
"state": "NH",
"postal_code": "038203217",
"telephone_number": "603-742-1893",
"fax_number": "603-742-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BROADWAY",
"city": "DOVER",
"state": "NH",
"postal_code": "038203217",
"telephone_number": "603-742-1893",
"fax_number": "603-742-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED'S SHOE BARN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2010-11-22",
"status": "A",
"authorized_official_last_name": "CULLEN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "IT MANAGER",
"authorized_official_telephone_number": "603-742-1893",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.