Organization Active NPI

Nordstrom Inc & Subsidiaries

  • Prosthetic/Orthotic Supplier
  • Montclair, CA
National Provider Identifier
1699700179
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
NORDSTROM INC & SUBSIDIARIES
Practice address
5015 E Montclair Plaza LN
Montclair, CA 91763-1519
Phone
(909) 625-0821
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Kresha B Britton
Title
Prosthesis Office Manager
Phone
(206) 454-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

5015 E Montclair Plaza LN
Montclair, CA 91763-1519

Mailing address

1617 6TH Ave
Attn: Prosthesis
Seattle, WA 98101-1707
Phone (206) 454-4060

Other names 1

  • Nordstrom Inc Other name

National Provider Directory

National Provider Directory

Locations

5015 E Montclair Plaza Ln
Montclair, CA 91763
Phone (909) 625-0821

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1699700179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 6TH AVE",
            "address_2": "ATTN: PROSTHESIS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011707",
            "telephone_number": "206-454-4060",
            "fax_number": "206-454-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 E MONTCLAIR PLAZA LN",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631519",
            "telephone_number": "909-625-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDSTROM INC & SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BRITTON",
        "authorized_official_first_name": "KRESHA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROSTHESIS OFFICE MANAGER",
        "authorized_official_telephone_number": "206-454-4060"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nordstrom Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.