Organization Active NPI

Chiappetta Shoes Inc

  • Prosthetic/Orthotic Supplier
  • Kenosha, WI
National Provider Identifier
1467592758
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
875 Issued in WI
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

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Mr. Fred C Chiappetta, CERTIFIED PEDORTHISTNPI 1003967761
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.