Active NPI
Joshua C Allison
Doing business as allisons comfort shoes & boots
- Prosthetic/Orthotic Supplier
- Glen Carbon, IL
National Provider Identifier
1558485987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- JOSHUA C ALLISON
- Doing business as
- allisons comfort shoes & boots
- Practice address
- 4225 S State Route 159
Ste 1
Glen Carbon, IL 62034-3231 - Phone
- (618) 288-9297
- Fax
- (618) 288-1260
- NPI assigned
- Mar 19, 2007
- Last updated
- Dec 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda T Miller, CPC
- Title
- Manager
- Phone
- (615) 217-9821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4225 S State Route 159
Ste 1
Glen Carbon, IL 62034-3231
Mailing address
4225 S State Route 159
Ste 1
Glen Carbon, IL 62034-3231
Phone (618) 288-9297
Other names 1
- allisons comfort shoes & boots
National Provider Directory
National Provider DirectoryLocations
4225 S State Route 159
Ste 1
Glen Carbon, IL 62034
Phone (618) 288-9297
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthetic/Orthotic Supplier
- Glen Carbon, IL
- NPI 1740304153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228348800000",
"number": "1558485987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 S STATE ROUTE 159",
"address_2": "STE 1",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343231",
"telephone_number": "618-288-9297",
"fax_number": "618-288-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 S STATE ROUTE 159",
"address_2": "STE 1",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343231",
"telephone_number": "618-288-9297",
"fax_number": "618-288-1260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSHUA C ALLISON",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2008-12-04",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "615-217-9821",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "allisons comfort shoes & boots",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.