Stans Bootery Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STANS BOOTERY INC

Practice address

505 W Silver Spring Drive
Glendale, WI 53217

Phone

(414) 464-1930

Fax

(414) 755-0022

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James J Sajdak, CPED

Title

President

Phone

(414) 464-1960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stans Fit For Your Feet Doing business as

Tax ID family

Stans Bootery Inc2 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.

• Stans Bootery Inc

  • Durable Medical Equipment & Medical Supplies
  • Brookfield, WI
  • NPI 1336281559
  NPD tax ID

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821130022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001A W LOOMIS ROAD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "53221",
            "telephone_number": "414-464-1960",
            "fax_number": "414-464-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W SILVER SPRING DRIVE",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-464-1930",
            "fax_number": "414-755-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANS BOOTERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAJDAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-464-1960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41625600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stans Fit For Your Feet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael F Smith, LPC, MS, MA, MBA
• Zachary M Smith, PT
• Lisa Hahn Speidel, MD
• Larry Sprung, MD
• Ssail Center Inc
• Kelleen Starsky, P.T.
• Tina Staszak, LPC-IT
• Karen Marie Steinbach, MSW, LCSW
• Taylor Steinhilber, DPT
• Jeffrey J Stephany, M.D.

• Durable Medical Equipment & Medical Supplies in Glendale, WI
• Providers in Glendale, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.