Organization Active NPI

Shoe and Foot Inc

  • Durable Medical Equipment & Medical Supplies
  • Stoneham, MA
National Provider Identifier
1639137755
Registry record updated Aug 22, 2020
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 20, 2007.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHOE AND FOOT INC
Practice address
100 Maple St
Stoneham, MA 02180-3143
Phone
(781) 933-0602
Fax
(781) 497-2926
NPI assigned
May 1, 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
Mr. Peter Bozovic
Title
President
Phone
(781) 933-0602

Specialties & licenses 1

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

Addresses

Primary practice location

100 Maple St
Stoneham, MA 02180-3143

Mailing address

100 Maple St
Stoneham, MA 02180-3143
Phone (781) 933-0602

Other identifiers 4

IdentifierTypeStateIssuer
800466OtherMATUFTS
281754OtherMABLUE CROSS BLUE SHIELD
702226OtherMAHARVARD PILGRIM HC
1538837MedicaidMA

Other names 1

  • Bond Shoes and Pedorthics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639137755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAPLE ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803143",
            "telephone_number": "781-933-0602",
            "fax_number": "781-497-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAPLE ST",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803143",
            "telephone_number": "781-933-0602",
            "fax_number": "781-497-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE AND FOOT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOZOVIC",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-933-0602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "800466",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "281754",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HC",
            "identifier": "702226",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538837",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bond Shoes and Pedorthics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.