Organization Active NPI

Ralph Lamont Baker

Doing business as Ralph Baker's Shoes

  • Customized Equipment (DME)
  • Salisbury, NC
National Provider Identifier
1346261492
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
RALPH LAMONT BAKER
Doing business as
Ralph Baker's Shoes
Practice address
428 N Main St
Salisbury, NC 28144-4349
Phone
(704) 636-1850
Fax
(704) 637-7120
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Mr. Ralph Lamont Baker Sr.NPI 1467778407
Title
Owner
Phone
(704) 636-1850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NC Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

428 N Main St
Salisbury, NC 28144-4349

Mailing address

428 N Main St
Salisbury, NC 28144-4349
Phone (704) 636-1850

Other identifiers 5

IdentifierTypeStateIssuer
205141300OtherNCUS DEPT OF LABOR
7967497OtherNCAETNA
8209567OtherNCMEDICARE COMPLETE UHC HMO
0425VOtherNCBCBS OF NC
7702031MedicaidNC

Other names 1

  • Ralph Baker's Shoes Doing business as

National Provider Directory

National Provider Directory

Locations

428 N Main St
Salisbury, NC 28144
Phone (704) 636-1850

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1376956800000",
    "number": "1346261492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 N MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444349",
            "telephone_number": "704-636-1850",
            "fax_number": "704-637-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 N MAIN ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444349",
            "telephone_number": "704-636-1850",
            "fax_number": "704-637-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH LAMONT BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-636-1850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "205141300",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7967497",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE COMPLETE UHC HMO",
            "identifier": "8209567",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0425V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702031",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ralph Baker's Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.