Kalamazoo Shoe Company, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KALAMAZOO SHOE COMPANY, INC.

Practice address

1016 E Cork St
Kalamazoo, MI 49001-4823

Phone

(269) 349-2247

Fax

(269) 349-0529

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Davis, C. PED

Title

President

Phone

(269) 349-2247

Specialties & licenses 1

Addresses

Other names 1

• Corey's Bootery Doing business as

Locations

Practitioners 3

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

• James Franklin Bloomfield III

  • Prosthetics Case Management
  • Kalamazoo, MI
  • NPI 1245414135
  NPD (past)
• Jeffrey V Davis

  • Orthotic Fitter
  • Kalamazoo, MI
  • NPI 1396971859
  NPD (past)
• Daniel R. Leslie, C.PED

  • Specialist
  • Kalamazoo, MI
  • NPI 1407244130
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497812002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 E CORK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014823",
            "telephone_number": "269-349-2247",
            "fax_number": "269-349-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E CORK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014823",
            "telephone_number": "269-349-2247",
            "fax_number": "269-349-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO SHOE COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-349-2247",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C. PED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corey's Bootery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kalamazoo Psychology, LLC
• Kalamazoo Regional Educational Service Agency
• Kalamazoo Smiles on Drake
• Kalamazoo Speech Associates
• Kalamazoo Speech Associates, Inc.
• Kalamazoo TC Operator LLC
• Kalamazoo Valley Chiropractic, LLC

• Prosthetic/Orthotic Supplier in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• 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.