Active NPI
James William Shoffer, DPM
- Podiatrist
- Glendale, AZ
National Provider Identifier
1194720946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0382
- Practice address
- 7200 W Bell Rd
E101
Glendale, AZ 85308-8529 - Phone
- (623) 825-9309
- Fax
- (623) 505-9822
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0382 | AZ | Primary |
Addresses
Primary practice location
7200 W Bell Rd
E101
Glendale, AZ 85308-8529
Mailing address
7200 W Bell Rd
E101
Glendale, AZ 85308-8529
Phone (623) 825-9309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0382 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1194720946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 W BELL RD",
"address_2": "E101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088529",
"telephone_number": "623-825-9309",
"fax_number": "623-505-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 W BELL RD",
"address_2": "E101",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088529",
"telephone_number": "623-825-9309",
"fax_number": "623-505-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOFFER",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "AZ",
"license": "0382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.