Organization Active NPI

Shoe Fix and Pedorthic Care

  • Prosthetic/Orthotic Supplier
  • Auburn, CA
National Provider Identifier
1336472695
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SHOE FIX AND PEDORTHIC CARE
Practice address
605 High St
Auburn, CA 95603-4207
Phone
(530) 888-7884
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Tina Thornton
Title
Manager
Phone
(530) 888-7884

Specialties & licenses 1

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

Addresses

Primary practice location

605 High St
Auburn, CA 95603-4207

Mailing address

605 High St
Auburn, CA 95603-4207
Phone (530) 888-7884

National Provider Directory

National Provider Directory

Locations

605 High St
Auburn, CA 95603
Phone (530) 888-7884

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1336472695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 HIGH ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034207",
            "telephone_number": "530-888-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 HIGH ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956034207",
            "telephone_number": "530-888-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE FIX AND PEDORTHIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-888-7884"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.