Monroe's Family Shoe Center Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MONROE'S FAMILY SHOE CENTER INC.

Practice address

1800 Dickerson Blvd
Monroe, NC 28110-2758

Phone

(704) 283-5814

Fax

(704) 289-6767

NPI assigned

Jan 29, 2007

Last updated

Jan 6, 2009By 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

Mr. Herbert Brooks Humphries Jr., CERTIFIED PEDORTHIST

Title

President

Phone

(704) 283-5814

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1730225954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1216",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281111216",
            "telephone_number": "704-283-5814",
            "fax_number": "704-289-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DICKERSON BLVD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102758",
            "telephone_number": "704-283-5814",
            "fax_number": "704-289-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE'S FAMILY SHOE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIES",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-283-5814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER  NUMBER",
            "identifier": "0427X",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1074",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702016",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monroe Manor Assisted Living Inc
• Monroe Manor Therapy Services Inc. (Monroe Manor Therapy Services)
• Monroe Rehabilitation Center, LLC (Monroe Rehabilitation Center)
• Monroe Ring Chiropractic Corporation (Monroe Chiropractic)
• Monroe Therapy Services, PLLC
• Sydney Nicole Montero, M.S. CF-SLP
• Antoinette Discioscia Moody
• Bailey Helms Moore, PA
• Billy Anthony Moore
• Brittany Moore

• Durable Medical Equipment & Medical Supplies in Monroe, NC
• Providers in Monroe, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.