Organization Active NPI

Saturdays Shoes Inc

  • Durable Medical Equipment & Medical Supplies
  • Willoughby, OH
National Provider Identifier
1538383773
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SATURDAYS SHOES INC
Practice address
36301 Euclid Ave
Willoughby, OH 44094-4414
Phone
(440) 975-9834
Fax
(440) 975-9836
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Terry Trentini
Title
Owner
Phone
(440) 975-9834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

36301 Euclid Ave
Willoughby, OH 44094-4414

Mailing address

36301 Euclid Ave
Willoughby, OH 44094-4414
Phone (440) 975-9834

Other identifiers 5

IdentifierTypeStateIssuer
7242426OtherOHAETNA
000000270664OtherOHANTHEM BCBS OF OH
107260OtherOHKAISER
2385511MedicaidOH
3418115OtherOHMEDICAL MUTUAL

National Provider Directory

National Provider Directory

Locations

36301 Euclid Ave
Willoughby, OH 44094
Phone (440) 975-9834

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1538383773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36301 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944414",
            "telephone_number": "440-975-9834",
            "fax_number": "440-975-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36301 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944414",
            "telephone_number": "440-975-9834",
            "fax_number": "440-975-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATURDAYS SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "TRENTINI",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-975-9834"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7242426",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF OH",
            "identifier": "000000270664",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "107260",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2385511",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "3418115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.