Smith'S Orthopedic Shoes, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SMITH'S ORTHOPEDIC SHOES, INC.

Practice address

5101 Twin Towers Blvd
Odessa, TX 79762-5504

Phone

(432) 363-4271

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Vicki Smith

Title

Secretary Treasurer

Phone

(432) 363-4271

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871662569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 TWIN TOWERS BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 TWIN TOWERS BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625504",
            "telephone_number": "432-363-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH'S ORTHOPEDIC SHOES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "432-363-4271"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "504892",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0865990-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alan D Smith, MD
• Cindy A Smith, M.S., CCC/SLP
• Debbie Villarreal Smith, DO
• Javashia Nicole Smith, MSN, APRN, FNP-C
• Morris Al Smith, NP-C
• Sole Proprietor
• Mary Aurora Soliz-Daramola
• Christina Ruth Solley
• Grant Sorensen, MD
• Rebecca S Sorrells, MA, LPC

• Customized Equipment (DME) in Odessa, TX
• Providers in Odessa, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.