Pedorthic Services, Inc.

Primary specialty

PedorthistTaxonomy code 224L00000X

License

NO LICENCSE REQUIRED Issued in OR

Legal business name

PEDORTHIC SERVICES, INC.

Practice address

10240 SW Nimbus Ave
Suite L5
Portland, OR 97223

Phone

(503) 992-6366

Fax

(503) 524-8397

NPI assigned

Feb 14, 2012

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vincent William Catania, C-PED

Title

Owner

Phone

(503) 992-6366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1720351323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 SW NIMBUS AVE",
            "address_2": "SUITE L5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-992-6366",
            "fax_number": "503-524-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SW NIMBUS AVE",
            "address_2": "SUITE L5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-992-6366",
            "fax_number": "503-524-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDORTHIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "CATANIA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-992-6366",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": "OR",
            "license": "NO LICENCSE REQUIRED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pedorthist in Portland, OR
• Providers in Portland, OR by specialty
• Pedorthist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.