Active NPI
Walkwell Walking Center, LLC
- Prosthetic/Orthotic Supplier
- Boise, ID
National Provider Identifier
1588912653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- WALKWELL WALKING CENTER, LLC
- Practice address
- 220 W Jefferson St
Boise, ID 83702-6044 - Phone
- (208) 343-8907
- NPI assigned
- Aug 21, 2012
- 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
- Mr. William S Stano, D.P.M.
- Title
- President of Managing Member
- Phone
- (208) 343-8907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
220 W Jefferson St
Boise, ID 83702-6044
Mailing address
220 W Jefferson St
Boise, ID 83702-6044
National Provider Directory
National Provider DirectoryLocations
220 W Jefferson St
Ste 102
Boise, ID 83702
Phone (208) 344-0081
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.
-
- Podiatrist
- Boise, ID
- NPI 1063426948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345507200000",
"number": "1588912653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W JEFFERSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W JEFFERSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837026044",
"telephone_number": "208-343-8907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKWELL WALKING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-21",
"last_updated": "2012-08-21",
"status": "A",
"authorized_official_last_name": "STANO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT OF MANAGING MEMBER",
"authorized_official_telephone_number": "208-343-8907",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.