Active NPI
Foot Support Sales LLC
- Prosthetic/Orthotic Supplier
- Maplewood, MN
National Provider Identifier
1316968464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- FOOT SUPPORT SALES LLC
- Practice address
- 1845 County Road D E
Maplewood, MN 55109-5331 - Phone
- (651) 779-0081
- Fax
- (651) 779-0065
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William K Murray
- Title
- Owner
- Phone
- (651) 779-0081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1845 County Road D E
Maplewood, MN 55109-5331
Mailing address
1845 County Road D E
Maplewood, MN 55109-5331
Phone (651) 779-0081
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41753400 | Medicaid | WI | |
| 274R3FO | Other | MN | BCBS OF MN |
National Provider Directory
National Provider DirectoryLocations
1845 County Road D E
Maplewood, MN 55109
Phone (651) 779-0081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316968464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 COUNTY ROAD D E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095331",
"telephone_number": "651-779-0081",
"fax_number": "651-779-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 COUNTY ROAD D E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095331",
"telephone_number": "651-779-0081",
"fax_number": "651-779-0065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT SUPPORT SALES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-779-0081"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41753400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "274R3FO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maplewood, MN
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.