Organization Active NPI

R & L Orthopedic Shoes Inc

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1104807734
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
R & L ORTHOPEDIC SHOES INC
Practice address
11455 Florida Blvd
Baton Rouge, LA 70815-2404
Phone
(225) 275-2632
Fax
(225) 275-3238
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Esteban Botello
Title
President
Phone
(225) 275-2632

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

11455 Florida Blvd
Baton Rouge, LA 70815-2404

Mailing address

11455 Florida Blvd
Baton Rouge, LA 70815-2404
Phone (225) 275-2632

Other identifiers 1

IdentifierTypeStateIssuer
1305529MedicaidLA

National Provider Directory

National Provider Directory

Locations

11455 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 275-2632

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1104807734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152404",
            "telephone_number": "225-275-2632",
            "fax_number": "225-275-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152404",
            "telephone_number": "225-275-2632",
            "fax_number": "225-275-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & L ORTHOPEDIC SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "BOTELLO",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-275-2632"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1305529",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.