Active NPI
Alberts Orthotics and Shoe Modifications
- Durable Medical Equipment & Medical Supplies
- Centralia, MO
National Provider Identifier
1063637601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ALBERTS ORTHOTICS AND SHOE MODIFICATIONS
- Practice address
- 112 W Railroad St Ste B
Centralia, MO 65240-1380 - Phone
- (573) 682-5722
- Fax
- (573) 682-5722
- NPI assigned
- Apr 17, 2007
- Last updated
- Mar 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Albert
- Title
- Owner
- Phone
- (573) 682-5722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
112 W Railroad St Ste B
Centralia, MO 65240-1380
Mailing address
112 W Railroad St Ste B
Centralia, MO 65240-1380
Phone (573) 682-5722
National Provider Directory
National Provider DirectoryLocations
112 W Railroad St
Ste B
Centralia, MO 65240
Phone (573) 682-5722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1063637601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 W RAILROAD ST STE B",
"city": "CENTRALIA",
"state": "MO",
"postal_code": "652401380",
"telephone_number": "573-682-5722",
"fax_number": "573-682-1546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 W RAILROAD ST STE B",
"city": "CENTRALIA",
"state": "MO",
"postal_code": "652401380",
"telephone_number": "573-682-5722",
"fax_number": "573-682-5722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERTS ORTHOTICS AND SHOE MODIFICATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "ALBERT",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-682-5722"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.