Organization Active NPI

Shoe Market Samples Inc

  • Customized Equipment (DME)
  • Greensboro, NC
National Provider Identifier
1275796435
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
332BC3200X Issued in NC
Legal business name
SHOE MARKET SAMPLES INC
Doing business as
The Shoe Market
Practice address
4624 W Market St
Greensboro, NC 27407-1232
Phone
(336) 632-1188
Fax
(336) 632-9011
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Melissa Frick
Title
Manager
Phone
(336) 632-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 332BC3200X NC Primary

Addresses

Primary practice location

4624 W Market St
Greensboro, NC 27407-1232

Mailing address

4624 W Market St
Greensboro, NC 27407-1232
Phone (336) 632-1188

Other names 1

  • The Shoe Market Doing business as

National Provider Directory

National Provider Directory

Locations

4624 W Market St
Greensboro, NC 27407
Phone (336) 303-1219

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1275796435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071232",
            "telephone_number": "336-632-1188",
            "fax_number": "336-632-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071232",
            "telephone_number": "336-632-1188",
            "fax_number": "336-632-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE MARKET SAMPLES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-632-1188"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shoe Market",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.