Organization Active NPI

Shoe Comfort Inc

  • Durable Medical Equipment & Medical Supplies
  • Port Richey, FL
National Provider Identifier
1578671541
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHOE COMFORT INC
Practice address
6632 Ridge Rd
Port Richey, FL 34668-6837
Phone
(727) 842-7693
Fax
(727) 842-8677
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Hnilica
Title
Owner
Phone
(727) 842-7693

Specialties & licenses 1

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

Addresses

Primary practice location

6632 Ridge Rd
Port Richey, FL 34668-6837

Mailing address

6632 Ridge Rd
Port Richey, FL 34668-6837
Phone (727) 842-7693

Other identifiers 1

IdentifierTypeStateIssuer
M2772OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Shoe Comfort Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6632 Ridge Rd
Port Richey, FL 34668
Phone (727) 842-7693

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578671541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 RIDGE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686837",
            "telephone_number": "727-842-7693",
            "fax_number": "727-842-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 RIDGE RD",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686837",
            "telephone_number": "727-842-7693",
            "fax_number": "727-842-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE COMFORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HNILICA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-842-7693"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M2772",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.