Active NPI
Kara Vel Shoe Store Inc
- Customized Equipment (DME)
- Austin, TX
National Provider Identifier
1609996453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 332BC3200X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504971 | Other | TX | BCBS PROVIDER ID |
| 086609701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Customized Equipment (DME)
- Austin, TX
- NPI 1447323183
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.