Shoetech

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHOETECH

Practice address

2854 Dewey Ave
Rochester, NY 14616-4630

Phone

(585) 303-1886

Fax

(585) 227-8562

NPI assigned

Mar 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ignazio Cancellieri, CO, C.PED

Title

Owner

Phone

(585) 303-1886

Specialties & licenses 2

Addresses

Other identifiers 4

Tax ID family

Fred'S Boot Shop2 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.

• Fred'S Boot Shop

  • Durable Medical Equipment & Medical Supplies
  • Rochester, NY
  • NPI 1841362001
  NPD tax ID

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1275501546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 RED HICKORY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264033",
            "telephone_number": "585-303-1886",
            "fax_number": "585-227-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164630",
            "telephone_number": "585-303-1886",
            "fax_number": "585-227-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOETECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "CANCELLIERI",
        "authorized_official_first_name": "IGNAZIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-303-1886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO, C.PED"
    },
    "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": "01709897",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "111882GD",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "111882UA",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RA",
            "identifier": "PSHOETCHINC",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Shoats
• Joy Shoats, LPN
• Jessica Shober, PA
• Hunter B Shoemaker, RN
• Melissa Shoemaker, LCSW
• Samantha Shojaie, DO
• Erin Shope, DMD
• Lindsay Shor, NP
• Bernard Ellis Shore, MD
• Colby Shores, D.C.

• Durable Medical Equipment & Medical Supplies in Rochester, NY
• Providers in Rochester, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.