Organization Active NPI

Step Ahead Shoe Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Depew, NY
National Provider Identifier
1306063359
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STEP AHEAD SHOE SERVICES INC
Practice address
6338 Transit Rd
Depew, NY 14043-1031
Phone
(716) 651-4646
Fax
(716) 651-4664
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Fredrick Kirst, CERT. PED.
Title
Vice President
Phone
(716) 651-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

6338 Transit Rd
Depew, NY 14043-1031

Mailing address

6338 Transit Rd
Depew, NY 14043-1031
Phone (716) 651-4646

Other identifiers 1

IdentifierTypeStateIssuer
02196298MedicaidNY

National Provider Directory

National Provider Directory

Locations

6338 Transit Rd
Depew, NY 14043
Phone (716) 651-4646

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306063359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431031",
            "telephone_number": "716-651-4646",
            "fax_number": "716-651-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431031",
            "telephone_number": "716-651-4646",
            "fax_number": "716-651-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP AHEAD SHOE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "716-651-4646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERT. 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": "02196298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • 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.