Organization Active NPI

Shoemate Orthotics Corp.

  • Health Service Clinic/Center
  • Cedar Rapids, IA
National Provider Identifier
1871893321
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SHOEMATE ORTHOTICS CORP.
Doing business as
The Orthotic Works
Practice address
162 Collins Rd NE
PMB 230
Cedar Rapids, IA 52402-3229
Phone
(905) 873-4884
NPI assigned
Nov 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Mr. Peter Glogowski
Title
Vice President
Phone
(905) 873-4884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

162 Collins Rd NE
PMB 230
Cedar Rapids, IA 52402-3229

Mailing address

162 Collins Rd NE
PMB 230
Cedar Rapids, IA 52402-3229
Phone (905) 873-4884

Other names 1

  • The Orthotic Works Doing business as

National Provider Directory

National Provider Directory

Locations

162 Collins Rd NE
Cedar Rapids, IA 52402
Phone (905) 873-4884

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1871893321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 COLLINS RD NE",
            "address_2": "PMB 230",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023229",
            "telephone_number": "905-873-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 COLLINS RD NE",
            "address_2": "PMB 230",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524023229",
            "telephone_number": "905-873-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOEMATE ORTHOTICS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "GLOGOWSKI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "905-873-4884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orthotic Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.