The Shoe Fits at 1 Foot 2 Foot LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE SHOE FITS AT 1 FOOT 2 FOOT LLC

Practice address

173 N Main St
Suffolk, VA 23434-4507

Phone

(757) 934-0768

Fax

(757) 925-1901

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Craig Dairman, DPM, FACFASNPI 1144226853

Title

President/Medical Director

Phone

(757) 934-0768

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Matthew C Dairman, DPM, MS, FACFAS

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
  • NPI 1144226853
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1720174675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55350",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234719350",
            "telephone_number": "757-318-7002",
            "fax_number": "757-318-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 N MAIN ST",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344507",
            "telephone_number": "757-934-0768",
            "fax_number": "757-925-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHOE FITS AT 1 FOOT 2 FOOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "DAIRMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "757-934-0768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, FACFAS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "5966790001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.