Active NPI
Sole Comfort Shoes, Inc.
- Prosthetic/Orthotic Supplier
- Albuquerque, NM
National Provider Identifier
1396811147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76722 | Other | NM | BCBS PROVIDER ID NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.