Kalamazoo Orthotics & Diabetic Shoes Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KALAMAZOO ORTHOTICS & DIABETIC SHOES INC

Practice address

1016 E Cork St
Kalamazoo, MI 49001-4823

Phone

(269) 349-2247

Fax

(269) 349-0529

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. James F Bloomfield III, C-PEDNPI 1245414135

Title

Pedortist/Owner

Phone

(269) 349-2247

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Corey's Bootery Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Franklin Bloomfield III

  • Prosthetics Case Management
  • Kalamazoo, MI
  • NPI 1245414135
  NPD Authorized official
• Jeffrey V Davis

  • Orthotic Fitter
  • Kalamazoo, MI
  • NPI 1396971859
  NPD (past)
• Daniel R. Leslie, C.PED

  • Specialist
  • Kalamazoo, MI
  • NPI 1407244130
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1336386358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E CORK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014823",
            "telephone_number": "269-349-2247",
            "fax_number": "269-349-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E CORK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014823",
            "telephone_number": "269-349-2247",
            "fax_number": "269-349-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO ORTHOTICS & DIABETIC SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "BLOOMFIELD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PEDORTIST/OWNER",
        "authorized_official_telephone_number": "269-349-2247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0C90031",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corey's Bootery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.