Organization Active NPI

Welch's Shoe Repair

  • Prosthetic/Orthotic Supplier
  • Hemet, CA
National Provider Identifier
1730212036
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPED876 Issued in CA
Legal business name
WELCH'S SHOE REPAIR
Practice address
41819 E Florida Ave
Hemet, CA 92544
Phone
(951) 658-2383
Fax
(951) 929-3396
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Robert M Welch
Title
Owner
Phone
(951) 658-2383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CPED876 CA Primary

Addresses

Primary practice location

41819 E Florida Ave
Hemet, CA 92544

Mailing address

41819 E Florida Ave
Hemet, CA 92544
Phone (951) 658-2383

Other identifiers 1

IdentifierTypeStateIssuer
876OtherCACPED

National Provider Directory

National Provider Directory

Locations

41819 Florida Ave
Hemet, CA 92544
Phone (951) 658-2383

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1730212036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41819 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92544",
            "telephone_number": "951-658-2383",
            "fax_number": "951-929-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41819 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92544",
            "telephone_number": "951-658-2383",
            "fax_number": "951-929-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCH'S SHOE REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-658-2383"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "CPED876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPED",
            "identifier": "876",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.