NPIMap

Organization Active NPI

Lesters Diabetic Shoe Serv

  • Podiatric Assistant
  • Estill, SC
National Provider Identifier
1790900249
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
Legal business name
LESTERS DIABETIC SHOE SERV
Practice address
41 Blair Circle
Estill, SC 29918
Phone
(803) 625-4100
Fax
(803) 625-4100
NPI assigned
Apr 17, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mrs. Ethel B Dandy, PEDORTHIC CPED
Title
Pedorthic Owner
Phone
(803) 625-4100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC
Prosthetic/Orthotic Supplier 335E00000X SC
Podiatric Assistant 211D00000X SC Primary

Addresses

Primary practice location

41 Blair Circle
Estill, SC 29918

Mailing address

PO Box 632
41 Blair Circle
Estill, SC 29918
Phone (803) 625-4100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1790900249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "address_2": "41 BLAIR CIRCLE",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "29918",
            "telephone_number": "803-625-4100",
            "fax_number": "803-625-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BLAIR CIRCLE",
            "city": "ESTILL",
            "state": "SC",
            "postal_code": "29918",
            "telephone_number": "803-625-4100",
            "fax_number": "803-625-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTERS DIABETIC SHOE SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "DANDY",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PEDORTHIC OWNER",
        "authorized_official_telephone_number": "803-625-4100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PEDORTHIC CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.