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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538861 | Medicaid | MA |
Other names 1
- Dartmouth Pedorthics at Harve's Shoe Box
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930002539 | MA | DME Supplier - Orthotic Personnel | 7618097817 | Practice locations: North Dartmouth, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dartmouth Pedorthics Harve's Shoe B | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.