Active NPI
Shi Shi Collection
- Prosthetic/Orthotic Supplier
- Philadelphia, PA
National Provider Identifier
1386257871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 2156508995 |
National Provider Directory
National Provider DirectoryNPI 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.