Organization Active NPI

Custom Family Footworks,, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
National Provider Identifier
1689867160
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CUSTOM FAMILY FOOTWORKS,, LLC
Practice address
63 E Pennington St Ste 106
Tucson, AZ 85701-1534
Phone
(502) 228-4048
Fax
(502) 882-4048
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dean Sanders
Title
Owner
Phone
(520) 207-4403

Specialties & licenses 1

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

Addresses

Primary practice location

63 E Pennington St Ste 106
Tucson, AZ 85701-1534

Mailing address

63 E Pennington St Ste 106
Tucson, AZ 85701-1534
Phone (502) 228-4048

National Provider Directory

National Provider Directory

Locations

63 E Pennington St
Ste 106
Tucson, AZ 85701
Phone (502) 228-4048

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1689867160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 E PENNINGTON ST STE 106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011534",
            "telephone_number": "502-228-4048",
            "fax_number": "502-882-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 E PENNINGTON ST STE 106",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011534",
            "telephone_number": "502-228-4048",
            "fax_number": "502-882-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM FAMILY FOOTWORKS,, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-207-4403"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.