Organization Active NPI

Gene'S Specialty Footwear Inc

  • Durable Medical Equipment & Medical Supplies
  • Saint Charles, MO
National Provider Identifier
1366487167
Registry record updated Oct 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENE'S SPECIALTY FOOTWEAR INC
Practice address
126 N Main St
Saint Charles, MO 63301-2827
Phone
(636) 946-1652
Fax
(636) 940-7463
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2013

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

Authorized official

Name
Ms. Marjorie Gaines, C. PED
Title
Secretary/Treasurer
Phone
(636) 946-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

126 N Main St
Saint Charles, MO 63301-2827

Mailing address

126 N Main St
Saint Charles, MO 63301-2827
Phone (636) 946-1652

Other names 1

  • Gene's Shoes Doing business as

National Provider Directory

National Provider Directory

Locations

126 N Main St
Saint Charles, MO 63301
Phone (636) 946-1652

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382745600000",
    "number": "1366487167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012827",
            "telephone_number": "636-946-1652",
            "fax_number": "636-940-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N MAIN ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012827",
            "telephone_number": "636-946-1652",
            "fax_number": "636-940-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE'S SPECIALTY FOOTWEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-10-26",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "636-946-1652",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C. PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gene's Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.