NPIMap

Organization Active NPI

Shoby Shoes LLC.

  • Prosthetic/Orthotic Supplier
  • Silver Spring, MD
National Provider Identifier
1053555490
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SHOBY SHOES LLC.
Practice address
11514 Goodloe Rd
Silver Spring, MD 20906-4838
Phone
(301) 706-7796
Fax
(301) 942-7288
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Authorized official

Name
Mrs. Ingrid Ventura, B.S.
Title
Executive Director
Phone
(391) 942-7288

Specialties & licenses 1

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

Addresses

Primary practice location

11514 Goodloe Rd
Silver Spring, MD 20906-4838

Mailing address

11514 Goodloe Rd
Silver Spring, MD 20906-4838
Phone (301) 706-7796

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1053555490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 GOODLOE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064838",
            "telephone_number": "301-706-7796",
            "fax_number": "301-942-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 GOODLOE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209064838",
            "telephone_number": "301-706-7796",
            "fax_number": "301-942-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOBY SHOES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "VENTURA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "391-942-7288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.