Baker Boot Company & Orthopedic L.L.C.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Garden City, KS
NPI 1104176684 · NPPES record last updated Feb 14, 2014
Key facts
- NPI
- 1104176684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BAKER BOOT COMPANY & ORTHOPEDIC L.L.C.
- Practice address
- 211 W Kansas Ave
Garden City, KS 67846-5362 - Phone
- (620) 275-4712
- Fax
- (620) 260-9668
- NPI assigned
- Sep 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Robert Lee Baker
- Title
- Owner
- Phone
- (620) 275-4712
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Baker Boot Company and Orthopedic |
Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140314000746 | KS | DME Supplier - Medical Supply Company With Pedorthic Personnel |
2860623865 | Practice locations: Garden City, KS |
National Provider Directory
Locations
211 W Kansas Ave
Garden City, KS 67846
Phone (620) 275-4712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
211 W Kansas Ave
Garden City, KS 67846-5362
Mailing address
211 W Kansas Ave
Garden City, KS 67846-5362
Phone (620) 275-4712
Other providers in Garden City, KS
- Lourdes Sofia Avinaz
- Baier Family Chiropractic PA
- Bobbie Jo Baier
- Jeffrey Leonard Baier
- Tammy L Bailes
- Robert Lee Baker
- Erendira Baltierrez Razo
- Jessica Banwell
- Steven Keith Barrett
- Hope Rileigh Beach
All providers in Garden City, KS · Durable Medical Equipment & Medical Supplies in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.