Mr. Shane'S. Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

600559120 Issued in WA

Legal business name

MR. SHANE'S. INC.

Practice address

17735 15TH Ave NE
Shoreline, WA 98155-3803

Phone

(206) 364-1322

Fax

(206) 365-2074

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Shane G. Hayes, CERTIFIED PEDORTHIST

Title

President

Phone

(206) 364-1322

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shane's foot comfort Center Doing business as

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1538211784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17735 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553803",
            "telephone_number": "206-364-1322",
            "fax_number": "206-365-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17735 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553803",
            "telephone_number": "206-364-1322",
            "fax_number": "206-365-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR. SHANE'S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-364-1322",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "600559120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "25337",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHEILD",
            "identifier": "SH8065",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shane's foot comfort Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Diane Moseley
• Jessie A Moss, SLP
• Robin E Moss
• Mothers Help Care Infant Agency
• Mountain Peak Mental Health, PLLC
• Saw Hnin Mu, MD
• Philip Mui, DMD
• Roxanne Muiruri
• Calvin Gene Mulanax, D.C.
• Jenny Muleka

• Durable Medical Equipment & Medical Supplies in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.