Organization Active NPI

Shoe Heel Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Maxton, NC
National Provider Identifier
1144495474
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHOE HEEL MEDICAL SUPPLY INC.
Practice address
109 N Patterson St
Maxton, NC 28364-1734
Phone
(910) 844-6000
Fax
(910) 844-6004
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Mr. Gregory Lowery
Title
Manager/Owner
Phone
(910) 844-6000

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC Primary
Customized Equipment (DME) 332BC3200X NC
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NC
Oxygen Equipment & Supplies (DME) 332BX2000X NC
Prosthetic/Orthotic Supplier 335E00000X NC

Addresses

Primary practice location

109 N Patterson St
Maxton, NC 28364-1734

Mailing address

109 N Patterson St
Maxton, NC 28364-1734
Phone (910) 844-6000

National Provider Directory

National Provider Directory

Locations

109 N Patterson St
Maxton, NC 28364
Phone (910) 844-6000

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1144495474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N PATTERSON ST",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641734",
            "telephone_number": "910-844-6000",
            "fax_number": "910-844-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N PATTERSON ST",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641734",
            "telephone_number": "910-844-6000",
            "fax_number": "910-844-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE HEEL MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "910-844-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maxton, NC

Sources for this page

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