Organization Active NPI

Cantilever Shoe Stores Inc

  • Durable Medical Equipment & Medical Supplies
  • Metairie, LA
National Provider Identifier
1033137484
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CANTILEVER SHOE STORES INC
Practice address
3429 Houma Blvd
Metairie, LA 70006-4225
Phone
(504) 454-2888
Fax
(504) 454-2889
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Ms. Jean S Sears, CERTIFIED PEDORTHIST
Title
President Owner
Phone
(504) 454-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3429 Houma Blvd
Metairie, LA 70006-4225

Mailing address

3429 Houma Blvd
Metairie, LA 70006-4225
Phone (504) 454-2888

Other identifiers 2

IdentifierTypeStateIssuer
1039969MedicaidLA
29844OtherLABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3427 Houma Blvd
Metairie, LA 70006
Phone (504) 454-2888

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1033137484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064225",
            "telephone_number": "504-454-2888",
            "fax_number": "504-454-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064225",
            "telephone_number": "504-454-2888",
            "fax_number": "504-454-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTILEVER SHOE STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "504-454-2888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039969",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29844",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.