Active NPI
Comfort Shoe Specialists
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
National Provider Identifier
1639267586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023861 | Other | OH | UHC ANCILLARY CARE MANAGE |
| DEPT. OF LABOR/OWCP | Other | MO | GOVENRMENT WORK COMP. |
National Provider Directory
National Provider Directory- Tax ID family
- Comfort Shoe Specialists
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Saint Louis, MO
- NPI 1760758502
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pedorthist
- Saint Louis, MO
- NPI 1689085706
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
- Comfort & Joy Wellness Center
- Comfort Health Services LLC
- Comfort Home Health, LLC
- Comfort Hospice of Missouri, LLC
- Comfort Makers in Home Services Inc
- Comfort Shoe Specialists
- Comfort Zone Home Healthcare Services, LLC
- Comfortable Healing Touch Home Health Care LLC
- Comforting Care Home Health LLC
- Comforting Hands Home Health Care LLC
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.