Taylored Shoes

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TAYLORED SHOES

Practice address

1025 5TH St
Novato, CA 94945-2413

Phone

(707) 290-0627

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Keith TaylorNPI 1710011143

Title

Owner/C.Ped

Phone

(707) 290-0627

Specialties & licenses 1

Addresses

Tax ID family

Taylored Shoes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Taylored Shoes

  • Durable Medical Equipment & Medical Supplies
  • Albany, CA
  • NPI 1811266679
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith J Taylor

  • Specialist
  • Albany, CA
  • NPI 1710011143
  Authorized official Same address or phone

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1184993941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WATERMAN BLVD",
            "address_2": "STE 4A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 5TH ST",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949452413",
            "telephone_number": "707-290-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORED SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/C.PED",
        "authorized_official_telephone_number": "707-290-0627"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ann Tarrant, SP
• Tasker and Rowan Dental Corporation of Land Park (Novato Pediatric Dentistry)
• Tasker and Rowan Dental Corporation of Marin (Marin Pediatric Dental Surgical Services)
• Clarence L. Taylor, M.D.
• Lisa M Taylor
• Laurel Te Velde
• Isaac Teckie
• Richard Franklin Teel, D.C.
• Rainey Sealey Temkin, PHD
• Stephen Paul Ternlund, MD

• Durable Medical Equipment & Medical Supplies in Novato, CA
• Providers in Novato, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.