Organization Active NPI

Nandel Enterprises, Inc.

Doing business as Foot Solutions

  • Durable Medical Equipment & Medical Supplies
  • Roseville, MN
National Provider Identifier
1063619708
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NANDEL ENTERPRISES, INC.
Doing business as
Foot Solutions
Practice address
1635 County Road C W
Roseville, MN 55113-1302
Phone
(651) 634-3668
Fax
(651) 634-9001
NPI assigned
Jun 27, 2007
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Delwin Alfred Wilson, CERTIFIED PEDORTHIST
Title
President
Phone
(651) 634-3668

Specialties & licenses 1

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

Addresses

Primary practice location

1635 County Road C W
Roseville, MN 55113-1302

Mailing address

1635 County Road C W
Roseville, MN 55113-1302
Phone (651) 634-3668

Other identifiers 1

IdentifierTypeStateIssuer
82-766-7600MedicaidMN

Other names 1

  • Foot Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

1635 County Road C W
Saint Paul, MN 55113
Phone (651) 634-3668

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1063619708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 COUNTY ROAD C W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131302",
            "telephone_number": "651-634-3668",
            "fax_number": "651-634-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 COUNTY ROAD C W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131302",
            "telephone_number": "651-634-3668",
            "fax_number": "651-634-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDEL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DELWIN",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-634-3668",
        "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": "82-766-7600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.