Tenni-Moc'S Shoe Store Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TENNI-MOC'S SHOE STORE INC

Practice address

6536 E Spring St
Long Beach, CA 90815-1554

Phone

(562) 429-7777

NPI assigned

Jul 2, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Maltezos, C.PEDNPI 1871130781

Title

Cfo

Phone

(562) 429-7777

Specialties & licenses 1

Addresses

Other names 1

• TENNI-MOC'S Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Maltezos, PEDORTHIST

  • Pedorthist
  • Long Beach, CA
  • NPI 1871130781
  NPD Authorized official

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1710504022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151554",
            "telephone_number": "562-429-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151554",
            "telephone_number": "562-429-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNI-MOC'S SHOE STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "MALTEZOS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "562-429-7777",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TENNI-MOC'S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tending to the Soul Collective
• Conan James Teng, DDS
• Francine Kazuko Teng, RDH
• Lanie Teng
• Tenni-Moc'S
• Anna Patricia Tenorio-Garcia, WHNP-BC
• Veronica Tenorio
• Maria Angeline Teodoro
• Serey Tep
• Christine Chizuko Terada, O.D.

• Durable Medical Equipment & Medical Supplies in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.