Organization Active NPI

Shi Shi Collection

  • Prosthetic/Orthotic Supplier
  • Philadelphia, PA
National Provider Identifier
1386257871
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SHI SHI COLLECTION
Practice address
6128 W Jefferson St
Philadelphia, PA 19151-3902
Phone
(215) 908-1234
Fax
(215) 650-8995
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Taneisha Cunningham
Title
Owner
Phone
(215) 908-1234

Specialties & licenses 1

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

Addresses

Primary practice location

6128 W Jefferson St
Philadelphia, PA 19151-3902

Mailing address

6128 W Jefferson St
Philadelphia, PA 19151-3902
Phone (215) 908-1234

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2156508995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1386257871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 W JEFFERSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513902",
            "telephone_number": "215-908-1234",
            "fax_number": "215-650-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 W JEFFERSON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513902",
            "telephone_number": "215-908-1234",
            "fax_number": "215-650-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHI SHI COLLECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "TANEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-908-1234"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2156508995",
            "affiliation": "N",
            "endpointDescription": "Fax #",
            "address_1": "6128 W Jefferson St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191513902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.