Organization Active NPI

BBR Sole, Inc.

Doing business as Foot Solutions

  • Prosthetic/Orthotic Supplier
  • Goodyear, AZ
National Provider Identifier
1881088623
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
20177786-B Issued in AZ
Legal business name
BBR SOLE, INC.
Doing business as
Foot Solutions
Practice address
1981 N Pebble Creek Pkwy
Suite C-5
Goodyear, AZ 85395-2543
Phone
(623) 536-6676
Fax
(623) 536-6686
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mr. Arthur Thomas Reynolds, C.PED.
Title
President/Owner
Phone
(623) 536-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 20177786-B AZ Primary

Addresses

Primary practice location

1981 N Pebble Creek Pkwy
Suite C-5
Goodyear, AZ 85395-2543

Mailing address

1981 N Pebble Creek Pkwy
Suite C-5
Goodyear, AZ 85395-2543
Phone (623) 536-6676

Other names 1

  • Foot Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BBR Sole Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1981 N Pebble Creek Pkwy
Ste C5
Goodyear, AZ 85395
Phone (623) 536-6676

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1881088623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 N PEBBLE CREEK PKWY",
            "address_2": "SUITE C-5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952543",
            "telephone_number": "623-536-6676",
            "fax_number": "623-536-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N PEBBLE CREEK PKWY",
            "address_2": "SUITE C-5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952543",
            "telephone_number": "623-536-6676",
            "fax_number": "623-536-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBR SOLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "623-536-6676",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.PED."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AZ",
            "license": "20177786-B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.