Organization Active NPI

The Shoe Tree, Inc

  • Prosthetic/Orthotic Supplier
  • Pismo Beach, CA
National Provider Identifier
1801822937
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE SHOE TREE, INC
Practice address
801 Dolliver St
Pismo Beach, CA 93449-2503
Phone
(805) 773-5571
Fax
(805) 773-1270
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Richard Boyld Taylor
Title
Ownr/President
Phone
(805) 773-5571

Specialties & licenses 1

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

Addresses

Primary practice location

801 Dolliver St
Pismo Beach, CA 93449-2503

Mailing address

801 Dolliver St
Pismo Beach, CA 93449-2503
Phone (805) 773-5571

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1801822937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 DOLLIVER ST",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492503",
            "telephone_number": "805-773-5571",
            "fax_number": "805-773-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DOLLIVER ST",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492503",
            "telephone_number": "805-773-5571",
            "fax_number": "805-773-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHOE TREE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BOYLD",
        "authorized_official_title_or_position": "OWNR/PRESIDENT",
        "authorized_official_telephone_number": "805-773-5571"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.