Organization Active NPI

When the Shoe Fits, LLC

  • Customized Equipment (DME)
  • Vancouver, WA
National Provider Identifier
1780914069
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
N/A FOR C.PEDS Issued in WA
Legal business name
WHEN THE SHOE FITS, LLC
Practice address
13305 NE Highway 99 Ste 100
Vancouver, WA 98686-2804
Phone
(360) 546-1929
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Alan Ohara, C.PED
Title
President
Phone
(360) 521-9462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X N/A FOR C.PEDS WA Primary

Addresses

Primary practice location

13305 NE Highway 99 Ste 100
Vancouver, WA 98686-2804

Mailing address

13305 NE Highway 99 Ste 100
Vancouver, WA 98686-2804
Phone (360) 546-1929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930084155 WA DME Supplier - Pedorthic Personnel 7517177322 Practice locations: Vancouver, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
When the Shoe Fits, LLC13305 NE Highway 99, Vancouver, WA 98686-2804(360) 546-1929 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Dec 8, 2004

National Provider Directory

National Provider Directory
Tax ID family
When the Shoe Fits LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13305 NE Highway 99
Ste 100
Vancouver, WA 98686
Phone (360) 546-1929

819 SE 160th Ave
Ste 100
Vancouver, WA 98683
Phone (360) 882-8962

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1780914069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 NE HIGHWAY 99 STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862804",
            "telephone_number": "360-546-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 NE HIGHWAY 99 STE 100",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862804",
            "telephone_number": "360-546-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEN THE SHOE FITS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "OHARA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-521-9462",
        "authorized_official_credential": "C.PED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "N/A FOR C.PEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.