Organization Active NPI

Comfort Shoe Specialists

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
National Provider Identifier
1639267586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMFORT SHOE SPECIALISTS
Practice address
11693 Manchester Rd
Saint Louis, MO 63131-4613
Phone
(314) 822-3300
Fax
(314) 822-1082
NPI assigned
Oct 10, 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
Edith Ann James, C.PED.
Title
Owner/President
Phone
(314) 822-3300

Specialties & licenses 1

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

Addresses

Primary practice location

11693 Manchester Rd
Saint Louis, MO 63131-4613

Mailing address

11693 Manchester Rd
Saint Louis, MO 63131-4613
Phone (314) 822-3300

Other identifiers 2

IdentifierTypeStateIssuer
1023861OtherOHUHC ANCILLARY CARE MANAGE
DEPT. OF LABOR/OWCPOtherMOGOVENRMENT WORK COMP.

National Provider Directory

National Provider Directory
Tax ID family
Comfort Shoe Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639267586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314613",
            "telephone_number": "314-822-3300",
            "fax_number": "314-822-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11693 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631314613",
            "telephone_number": "314-822-3300",
            "fax_number": "314-822-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT SHOE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "314-822-3300",
        "authorized_official_credential": "C.PED."
    },
    "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": "UHC ANCILLARY CARE MANAGE",
            "identifier": "1023861",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOVENRMENT WORK COMP.",
            "identifier": "DEPT. OF LABOR/OWCP",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.