Sanjuana Caballero D B a Loveless Shoes Inc LLC

Primary specialty

PedorthistTaxonomy code 224L00000X

Legal business name

SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC

Practice address

4901 W Reno Ave Ste 800
Oklahoma City, OK 73127-6398

Phone

(405) 631-9731

Fax

(405) 634-9717

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Sanjuana Rogaciana Caballero

Title

Owner

Phone

(405) 412-8621

Specialties & licenses 1

Addresses

Other names 1

• Loveless Shoes Doing business as

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1356965404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 SADDLEBACK BLVD APT 10",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722857",
            "telephone_number": "405-412-8621",
            "fax_number": "405-634-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W RENO AVE STE 800",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731276398",
            "telephone_number": "405-631-9731",
            "fax_number": "405-634-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "SANJUANA",
        "authorized_official_middle_name": "ROGACIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-412-8621"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "otherurl",
            "affiliation": "N",
            "address_1": "4901 W Reno Ave Ste 800",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731276398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "otherurl",
            "affiliation": "N",
            "address_1": "4901 W Reno Ave Ste 800",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731276398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Loveless Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pedorthist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Pedorthist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.