Organization Active NPI

The Shoe Doctor, Inc.

  • Prosthetic/Orthotic Supplier
  • Boca Raton, FL
National Provider Identifier
1316069172
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
1869147 Issued in FL
Legal business name
THE SHOE DOCTOR, INC.
Practice address
164 NW 51St St
Boca Raton, FL 33431-4226
Phone
(561) 994-0792
Fax
(561) 241-3899
NPI assigned
Apr 4, 2007
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Charles Steinberg, P.D.
Title
President
Phone
(561) 994-0792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 1869147 FL Primary

Addresses

Primary practice location

164 NW 51St St
Boca Raton, FL 33431-4226

Mailing address

164 NW 51St St
Boca Raton, FL 33431-4226
Phone (561) 994-0792

National Provider Directory

National Provider Directory

Locations

164 NW 51st St
Boca Raton, FL 33431
Phone (561) 994-0792

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1316069172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NW 51ST ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314226",
            "telephone_number": "561-994-0792",
            "fax_number": "561-241-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NW 51ST ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314226",
            "telephone_number": "561-994-0792",
            "fax_number": "561-241-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHOE DOCTOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-994-0792",
        "authorized_official_credential": "P.D."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "1869147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.