Organization Active NPI

Alberts Orthotics and Shoe Modifications

  • Durable Medical Equipment & Medical Supplies
  • Centralia, MO
National Provider Identifier
1063637601
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.