Shoe Mate

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SHOE MATE

Practice address

1011 88TH St
West Des Moines, IA 50266-5857

Phone

(515) 205-1811

Fax

(515) 453-8429

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Hal Mead, PEDORTHISTNPI 1356693428

Title

Owner

Phone

(515) 205-1811

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hal Lewis Mead

  • Pedorthist
  • West Des Moines, IA
  • NPI 1356693428
  NPD (past) Authorized official

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1902159858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 WESTOWN PKWY STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667717",
            "telephone_number": "515-205-8111",
            "fax_number": "515-453-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 88TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665857",
            "telephone_number": "515-205-1811",
            "fax_number": "515-453-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE MATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-205-1811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Grace Sherer, MA/LP
• Shinra, P.C. (Iowa Allergy, Asthma, & Immunology P.C.)
• Devyn Shipman
• Jill Shirley, MS,
• Gabrielle Adele Shnurman, ATC
• Alena Shoemaker
• Robert D Shontz, M.D.
• Mary A Shook, MD
• Margaret Shortell, TLMHC
• Madison Nicole Showers

• Prosthetic/Orthotic Supplier in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Prosthetic/Orthotic Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.