Active NPI
Red's Shoe Barn, Inc
- Prosthetic/Orthotic Supplier
- Plaistow, NH
National Provider Identifier
1760762439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- RED'S SHOE BARN, INC
- Practice address
- 22 Plaistow Rd
Plaistow, NH 03865-4802 - Phone
- (603) 382-7688
- Fax
- (603) 382-7709
- NPI assigned
- Aug 25, 2011
- Last updated
- Aug 25, 2011
- Organization subpart
- Yes
- Parent organization
- RED'S SHOE BARN, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela J. Cullen
- Title
- It Manager
- Phone
- (603) 742-1893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
22 Plaistow Rd
Plaistow, NH 03865-4802
Mailing address
35 Broadway
Dover, NH 03820-3217
Phone (603) 742-1893
National Provider Directory
National Provider Directory- Part of
- Red's Shoe Barn Inc
Locations
35 Broadway
Dover, NH 03820
Phone (603) 742-1893
22 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-7688
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Prosthetic/Orthotic Supplier
- Dover, NH
- NPI 1003075987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314230400000",
"number": "1760762439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BROADWAY",
"city": "DOVER",
"state": "NH",
"postal_code": "038203217",
"telephone_number": "603-742-1893",
"fax_number": "603-742-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PLAISTOW RD",
"city": "PLAISTOW",
"state": "NH",
"postal_code": "038654802",
"telephone_number": "603-382-7688",
"fax_number": "603-382-7709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED'S SHOE BARN, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RED'S SHOE BARN, INC.",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A",
"authorized_official_last_name": "CULLEN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "IT MANAGER",
"authorized_official_telephone_number": "16037421893",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plaistow, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.