Edwards Shoe Service & Leather Specialty Shoe Repair

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

21876 Issued in LA

Legal business name

EDWARDS SHOE SERVICE & LEATHER SPECIALTY SHOE REPAIR

Doing business as

Edwards Leather & Shoe Repair

Practice address

3704 Magazine St
New Orleans, LA 70115-2637

Phone

(504) 895-4993

NPI assigned

Oct 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Smoot I

Title

Owner

Phone

(504) 214-6208

Specialties & licenses 1

Addresses

Other names 1

• Edwards Leather & Shoe Repair Doing business as

Locations

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1053646497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 RED CYPRESS DR",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700585815",
            "telephone_number": "504-895-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152637",
            "telephone_number": "504-895-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS SHOE SERVICE & LEATHER SPECIALTY SHOE REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-214-6208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": "21876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwards Leather & Shoe Repair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Educators Friend
• Edward E. Levy 111 DDS, a Professional Corp.
• Edward Lang
• Edward Madison III, L.L.C
• Edward St. Martin, Jr., M.D., Siddharth K. Bhansali, M.D., Olle Kjellg
• Aisha Edwards
• Angell Edwards, FNP
• April Edwards
• Arthur Edwards
• Ashaunti Edwards

• Customized Equipment (DME) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.