Active NPI
Chiappetta Shoes Inc
- Prosthetic/Orthotic Supplier
- Kenosha, WI
National Provider Identifier
1467592758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 875
- Legal business name
- CHIAPPETTA SHOES INC
- Practice address
- 6821 39TH Ave
Kenosha, WI 53142-7127 - Phone
- (262) 657-9142
- Fax
- (262) 657-9169
- NPI assigned
- Feb 7, 2007
- 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
- Mr. Fred C Chiappetta, CERTIFIED PEDORTHIST
- Title
- Owner
- Phone
- (262) 657-9142
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 875 | WI | Primary |
Addresses
Primary practice location
6821 39TH Ave
Kenosha, WI 53142-7127
Mailing address
6821 39TH Ave
Kenosha, WI 53142-7127
Phone (262) 657-9142
National Provider Directory
National Provider DirectoryLocations
6821 39th Ave
Kenosha, WI 53142
Phone (262) 657-9142
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Kenosha, WI
- NPI 1003967761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1467592758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6821 39TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427127",
"telephone_number": "262-657-9142",
"fax_number": "262-657-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6821 39TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427127",
"telephone_number": "262-657-9142",
"fax_number": "262-657-9169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIAPPETTA SHOES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "CHIAPPETTA",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-657-9142",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CERTIFIED PEDORTHIST"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "WI",
"license": "875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.