Robert a Fasbender

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Legal business name

ROBERT A FASBENDER

Doing business as

Michaels Shoes

Practice address

215 West 4TH Street
Carroll, IA 51401-2715

Phone

(712) 792-3115

Fax

(712) 792-3115

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Anthony Fasbender

Title

Owner Shoe & Orthodic Fitter

Phone

(712) 792-3115

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michaels Shoes Doing business as

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1013071422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 WEST 4TH STREET",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012715",
            "telephone_number": "712-792-3115",
            "fax_number": "712-792-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WEST 4TH STREET",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012715",
            "telephone_number": "712-792-3115",
            "fax_number": "712-792-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A FASBENDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "FASBENDER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER SHOE & ORTHODIC FITTER",
        "authorized_official_telephone_number": "712-792-3115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034538",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michaels Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Marie Riat, PT
• James Scott Richardson, OD
• Kathleen Richardson, ARNP
• Sondra Leigh Rierson, AU.D
• Amy Riesberg, LMSW
• Rothmeyer Chiropractic, PLLC
• Dylan James Rothmeyer, DC
• Kristen Sample, PHARMD
• Richard Cline Sazama, MD
• Jenna Marie Schaben, RD LD

• Orthotic Fitter in Carroll, IA
• Providers in Carroll, IA by specialty
• Orthotic Fitter in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.