Organization Active NPI

Sole Comfort Shoes, Inc.

  • Prosthetic/Orthotic Supplier
  • Albuquerque, NM
National Provider Identifier
1396811147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SOLE COMFORT SHOES, INC.
Practice address
11200 Montgomery Blvd NE
#6
Albuquerque, NM 87111-2677
Phone
(505) 296-1645
Fax
(505) 296-1647
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Margaret Lucas-Swisher, C.PED
Title
President
Phone
(505) 296-1645

Specialties & licenses 1

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

Addresses

Primary practice location

11200 Montgomery Blvd NE
#6
Albuquerque, NM 87111-2677

Mailing address

11200 Montgomery Blvd NE
#6
Albuquerque, NM 87111-2677
Phone (505) 296-1645

Other identifiers 1

IdentifierTypeStateIssuer
76722OtherNMBCBS PROVIDER ID NUMBER

National Provider Directory

National Provider Directory

Locations

11200 Montgomery Blvd NE
Ste 6
Albuquerque, NM 87111
Phone (505) 296-1645

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396811147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 MONTGOMERY BLVD NE",
            "address_2": "#6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112677",
            "telephone_number": "505-296-1645",
            "fax_number": "505-296-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 MONTGOMERY BLVD NE",
            "address_2": "#6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112677",
            "telephone_number": "505-296-1645",
            "fax_number": "505-296-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE COMFORT SHOES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS-SWISHER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-296-1645",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "76722",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.