Organization Active NPI

Comfort Plus Shoe Center, Inc.

  • Customized Equipment (DME)
  • Omaha, NE
National Provider Identifier
1477725869
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
7077181 Issued in NE
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

Updated by the provider on Jan 15, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025318500MedicaidNE
09980OtherNEBLUE CROSS BLUE SHIELD
0939116MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.