Campanis Shoe Store & Repair

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CAMPANIS SHOE STORE & REPAIR

Practice address

148 S Allegheny St
Bellefonte, PA 16823-1958

Phone

(814) 355-1806

NPI assigned

Jan 9, 2008

Organization subpart

No

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

Authorized official

Name

Dino Campanis

Title

Pedorthic Orthitist

Phone

(814) 355-1806

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1821273749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S ALLEGHENY ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231958",
            "telephone_number": "814-355-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S ALLEGHENY ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168231958",
            "telephone_number": "814-355-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPANIS SHOE STORE & REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "CAMPANIS",
        "authorized_official_first_name": "DINO",
        "authorized_official_title_or_position": "PEDORTHIC ORTHITIST",
        "authorized_official_telephone_number": "814-355-1806"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS PPO",
            "identifier": "50009410",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "269781",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C Burkett, DPT
• Christie Ellis Bush, M.A, NCC
• Thomas R Butler, CHIROPRACTOR
• Chad Byerlee
• Grace Byerlee, MS
• Michelle Kay Capistrant, L.P.N.
• Elizabeth A Capurso, BS
• Nicole Marie Carnicella, DMD
• Nicole Carrita I
• Diana Cartwright, BSN, RN

• Customized Equipment (DME) in Bellefonte, PA
• Providers in Bellefonte, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.