Organization Active NPI

Kara Vel Shoe Store Inc

  • Customized Equipment (DME)
  • Austin, TX
National Provider Identifier
1609996453
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
332BC3200X Issued in TX
Legal business name
KARA VEL SHOE STORE INC
Practice address
5525 Burnet Rd
Suite 1
Austin, TX 78756-1603
Phone
(512) 459-7603
Fax
(512) 459-5243
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Rick Ravel, CERTIFIED PEDORTHIST
Title
Owner
Phone
(512) 459-7603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 332BC3200X TX Primary

Addresses

Primary practice location

5525 Burnet Rd
Suite 1
Austin, TX 78756-1603

Mailing address

5525 Burnet Rd
Suite 1
Austin, TX 78756-1603
Phone (512) 459-7603

Other identifiers 2

IdentifierTypeStateIssuer
504971OtherTXBCBS PROVIDER ID
086609701MedicaidTX

National Provider Directory

National Provider Directory

Locations

5525 Burnet Rd
Ste 1
Austin, TX 78756
Phone (512) 459-7603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1609996453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 BURNET RD",
            "address_2": "SUITE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561603",
            "telephone_number": "512-459-7603",
            "fax_number": "512-459-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 BURNET RD",
            "address_2": "SUITE 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561603",
            "telephone_number": "512-459-7603",
            "fax_number": "512-459-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARA VEL SHOE STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "RAVEL",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-459-7603",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "504971",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086609701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.