Cocos Shoe Store Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

COCOS SHOE STORE INC

Practice address

2314 Ryan St
Lake Charles, LA 70601-7320

Phone

(337) 439-4751

Fax

(337) 439-1395

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Robert J Coco, PEDORTHIST

Title

President

Phone

(337) 439-4751

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1063561256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017320",
            "telephone_number": "337-439-4751",
            "fax_number": "337-439-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017320",
            "telephone_number": "337-439-4751",
            "fax_number": "337-439-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOS SHOE STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "COCO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-439-4751",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1392383",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Cobb, FNP
• Jacob Gus Cochran
• Robert Charles Cochran, DDS
• Amber N. Cockburn, MD
• Coco Heart 2 Heart Transportation Services LLC
• Nathan Phillip Cohen, M.D.
• Charles G Coine
• Col Management LLC
• Jessica Marie Miglicco Cole, MD
• Katherine Cole, BCBA #1-15-19417

• Prosthetic/Orthotic Supplier in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.