Active NPI
Shoes Etc LLC
- Durable Medical Equipment & Medical Supplies
- Rock Hill, SC
National Provider Identifier
1508041872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 046315575
- Legal business name
- SHOES ETC LLC
- Practice address
- 339 E Main Street
Suite 113
Rock Hill, SC 29730-5367 - Phone
- (803) 329-7463
- Fax
- (866) 843-2602
- NPI assigned
- Jan 7, 2008
- Organization subpart
- Yes
- Parent organization
- SHOES ETC LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William D McLeod
- Title
- Owner
- Phone
- (803) 730-3887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 046315575 | SC | Primary |
Addresses
Primary practice location
339 E Main Street
Suite 113
Rock Hill, SC 29730-5367
Mailing address
PO Box 2652
Irmo, SC 29063-4003
Phone (803) 781-5757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704796 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Shoes Etc LLC
- Part of
- Shoes Etc LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Set Medical
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1144205766
Locations
339 E Main St
Ste 113
Rock Hill, SC 29730
Phone (803) 329-7463
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Set Medical
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1144205766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1508041872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2652",
"city": "IRMO",
"state": "SC",
"postal_code": "290634003",
"telephone_number": "803-781-5757",
"fax_number": "866-843-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 E MAIN STREET",
"address_2": "SUITE 113",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305367",
"telephone_number": "803-329-7463",
"fax_number": "866-843-2602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOES ETC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHOES ETC LLC",
"enumeration_date": "2008-01-07",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "MCLEOD",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-730-3887",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "SC",
"license": "046315575",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704796",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.