Active NPI
Comfort Plus Shoe Center, Inc.
- Customized Equipment (DME)
- Omaha, NE
National Provider Identifier
1477725869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 7077181
- Legal business name
- COMFORT PLUS SHOE CENTER, INC.
- Practice address
- 535 N 155TH PLZ
Omaha, NE 68154-3775 - Phone
- (402) 392-2952
- Fax
- (402) 392-1761
- NPI assigned
- Mar 26, 2008
- 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
- Deborah Lynn Mannino
- Title
- President, Cped
- Phone
- (402) 392-2952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 7077181 | NE | Primary |
Addresses
Primary practice location
535 N 155TH PLZ
Omaha, NE 68154-3775
Mailing address
535 N 155TH PLZ
Omaha, NE 68154-3775
Phone (402) 392-2952
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025318500 | Medicaid | NE | |
| 09980 | Other | NE | BLUE CROSS BLUE SHIELD |
| 0939116 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
535 N 155th Plz
Omaha, NE 68154
Phone (402) 392-2952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231977600000",
"number": "1477725869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 N 155TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543775",
"telephone_number": "402-392-2952",
"fax_number": "402-392-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 N 155TH PLZ",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543775",
"telephone_number": "402-392-2952",
"fax_number": "402-392-1761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT PLUS SHOE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-26",
"last_updated": "2009-01-15",
"status": "A",
"authorized_official_last_name": "MANNINO",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT, CPED",
"authorized_official_telephone_number": "402-392-2952"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NE",
"license": "7077181",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025318500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09980",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0939116",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.