Organization Active NPI

House of Shoes of Dartmouth Inc.

Doing business as Dartmouth Pedorthics at Harve's Shoe Box

  • Durable Medical Equipment & Medical Supplies
  • North Dartmouth, MA
National Provider Identifier
1871636225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOUSE OF SHOES OF DARTMOUTH INC.
Doing business as
Dartmouth Pedorthics at Harve's Shoe Box
Practice address
98 State Rd
North Dartmouth, MA 02747-2921
Phone
(508) 997-7215
Fax
(508) 999-0236
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Friedland, CERTIFIED PEDORTHIST
Title
President
Phone
(508) 997-7215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

98 State Rd
North Dartmouth, MA 02747-2921

Mailing address

98 State Rd
North Dartmouth, MA 02747-2921
Phone (508) 997-7215

Other identifiers 1

IdentifierTypeStateIssuer
1538861MedicaidMA

Other names 1

  • Dartmouth Pedorthics at Harve's Shoe Box Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002539 MA DME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company 7618097817 Practice locations: North Dartmouth, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dartmouth Pedorthics Harve's Shoe B98 State Rd, North Dartmouth, MA 02747-2921(508) 997-7215 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

98 State Rd
North Dartmouth, MA 02747
Phone (508) 997-7215

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871636225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472921",
            "telephone_number": "508-997-7215",
            "fax_number": "508-999-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 STATE RD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027472921",
            "telephone_number": "508-997-7215",
            "fax_number": "508-999-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF SHOES OF DARTMOUTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-997-7215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "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": "1538861",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dartmouth Pedorthics at Harve's Shoe Box",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Dartmouth, MA

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.