Dolliver Tree, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DOLLIVER TREE, INC.

Practice address

801 Dolliver St
Pismo Beach, CA 93449-2503

Phone

(805) 773-5571

Fax

(805) 773-1270

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Lewis Morabito

Title

Vice President

Phone

(805) 235-1752

Specialties & licenses 1

Addresses

Other names 1

• The Shoe Tree Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy Burke Morabito, C. PED.

  • Pedorthist
  • Pismo Beach, CA
  • NPI 1245750140
  NPD (past)
• Roberta Jean Smith, C.PED

  • Pedorthist
  • Pismo Beach, CA
  • NPI 1487184123
  NPD (past)

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1467889121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DOLLIVER ST",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492503",
            "telephone_number": "805-773-5571",
            "fax_number": "805-773-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DOLLIVER ST",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492503",
            "telephone_number": "805-773-5571",
            "fax_number": "805-773-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLLIVER TREE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "MORABITO",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "805-235-1752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shoe Tree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Zoe Marie Dillen, D.O.
• Angela Elizabeth Diorio
• Samantha Dixon
• Doctors Medplus Medical Center
• Nicole Lee Dolan, PHD LFMT
• Don Q. Tran D.M.D. Inc.
• Ann Marie Donnelly, PHD
• Denise Dritsas, PSY.D.
• Erika Analise Eddy, L.AC.
• Kelli Eisemann

• Prosthetic/Orthotic Supplier in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.