Organization Active NPI

McMahan Shoes of NC Inc

  • Customized Equipment (DME)
  • Charlotte, NC
National Provider Identifier
1497879506
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MCMAHAN SHOES OF NC INC
Practice address
1809 E 7TH St
Charlotte, NC 28204-2415
Phone
(704) 376-1406
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
John McMahan, CERTIFIED PEDORTHIST
Title
President
Phone
(704) 376-1406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NC Primary

Addresses

Primary practice location

1809 E 7TH St
Charlotte, NC 28204-2415

Mailing address

1809 E 7TH St
Charlotte, NC 28204-2415

Other names 1

  • McMahan Shoes Doing business as

National Provider Directory

National Provider Directory

Locations

1809 E 7th St
Charlotte, NC 28204
Phone (704) 376-1406

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1497879506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E 7TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042415",
            "telephone_number": "704-376-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHAN SHOES OF NC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "MCMAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-376-1406",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McMahan Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.