Saagers Shoe Shop Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SAAGERS SHOE SHOP INC

Practice address

613 N Main St
Milton Freewater, OR 97862-1727

Phone

(541) 938-5162

Fax

(541) 938-3148

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Norman Dean Saager

Title

Trustee

Phone

(541) 938-5162

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477613842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N MAIN ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621727",
            "telephone_number": "541-938-5162",
            "fax_number": "541-938-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 N MAIN ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621727",
            "telephone_number": "541-938-5162",
            "fax_number": "541-938-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAAGERS SHOE SHOP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAAGER",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "541-938-5162",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167767",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "82828",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9021379",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Reeves, RN
• David Roberts, DDS
• Molly Rodriguez
• Chastity Venesa Rutherford, CRM
• Norman Dean Saager
• Safeway Inc
• Todd Michael Schroeder, DDS
• Michael A Schwarz, MPT
• Serenity Counseling PC
• Kenneth Ray Simpson, DC

• Customized Equipment (DME) in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Customized Equipment (DME) in Oregon

• 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.