Organization Active NPI

Star Shoes Corporation

  • Customized Equipment (DME)
  • Lawrenceville, GA
National Provider Identifier
1811102460
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
STAR SHOES CORPORATION
Practice address
3370 Sugarloaf Parkway
Suite G-6
Lawrenceville, GA 30044-5478
Phone
(678) 225-4569
Fax
(678) 225-5749
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Mrs. Janice L. Rogers
Title
Secretary Treasurer
Phone
(678) 225-4569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3370 Sugarloaf Parkway
Suite G-6
Lawrenceville, GA 30044-5478

Mailing address

3370 Sugarloaf Pkwy
Suite G-6
Lawrenceville, GA 30044-5478
Phone (678) 225-4569

National Provider Directory

National Provider Directory

Locations

3370 Sugarloaf Pkwy
Ste G6
Lawrenceville, GA 30044
Phone (678) 225-4569

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1811102460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "address_2": "SUITE G-6",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "678-225-4569",
            "fax_number": "678-225-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PARKWAY",
            "address_2": "SUITE G-6",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "678-225-4569",
            "fax_number": "678-225-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR SHOES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "678-225-4569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.