Rosendahl Foot and Shoe Center

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ROSENDAHL FOOT AND SHOE CENTER

Practice address

125 S Curtis Rd
Boise, ID 83705-1014

Phone

(208) 343-4242

Fax

(208) 343-6764

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don Shippy

Title

Owner

Phone

(208) 343-4242

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1366691818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051014",
            "telephone_number": "208-343-4242",
            "fax_number": "208-343-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSENDAHL FOOT AND SHOE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "SHIPPY",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-343-4242"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806600000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Mae Rosenbaum, MS, RD, LD
• George Jacob Rosenbaum, DIPL. AC., LAC.
• Rosenberg Chiropractic
• James R Rosenberg, D.C.
• Sarah Rosenbloom
• Crystal Rosendahl, LPC
• Louis A Roser Jr., MD
• Steven E Roser, M.D.
• Rosewood Therapy LLC
• Allyson R Ross, MD

• Prosthetic/Orthotic Supplier in Boise, ID
• Providers in Boise, ID by specialty
• Prosthetic/Orthotic Supplier in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.