Active NPI
Shoe and Foot Inc
- Durable Medical Equipment & Medical Supplies
- Stoneham, MA
National Provider Identifier
1639137755
On this page
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.
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800466 | Other | MA | TUFTS |
| 281754 | Other | MA | BLUE CROSS BLUE SHIELD |
| 702226 | Other | MA | HARVARD PILGRIM HC |
| 1538837 | Medicaid | MA |
Other names 1
- Bond Shoes and Pedorthics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryNPI 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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.