Organization Active NPI

Joshua C Allison

Doing business as allisons comfort shoes & boots

  • Prosthetic/Orthotic Supplier
  • Glen Carbon, IL
National Provider Identifier
1558485987
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.