Shoe Design

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHOE DESIGN

Practice address

648 Main Street
Grand Junction, CO 81501-2708

Phone

(970) 243-4777

Fax

(970) 243-4777

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Mario Calderone, C PED

Title

Certified Pedorthist

Phone

(970) 243-4777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154545945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 MAIN STREET",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012708",
            "telephone_number": "970-243-4777",
            "fax_number": "970-243-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 MAIN STREET",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815012708",
            "telephone_number": "970-243-4777",
            "fax_number": "970-243-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDERONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "CERTIFIED PEDORTHIST",
        "authorized_official_telephone_number": "970-243-4777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08003972",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.