Style Shop

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

STYLE SHOP

Doing business as

Mountain Insoles

Practice address

555 Twining Flats Rd
Aspen, CO 81611-3119

Phone

(303) 919-6917

NPI assigned

Mar 7, 2017

Organization subpart

No

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

Authorized official

Name

Russel Joseph Bollig

Title

President

Phone

(303) 919-6917

Specialties & licenses 1

Addresses

Other names 1

• Mountain Insoles Doing business as

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1912447053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 TWINING FLATS RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816113119",
            "telephone_number": "303-919-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 TWINING FLATS RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816113119",
            "telephone_number": "303-919-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STYLE SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "BOLLIG",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-919-6917"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Insoles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Leslie Stanberry, DC
• Phyllis Whitman Starensier, CRNA
• Elizabeth Stark, RN
• Elle Stark, DPT
• Steadman Clinic Professional LLC (The Steadman Clinic)
• Maxwell Thomas Sumnicht, PHARMACIST
• Emily Supino
• Krista Swanson, PHD, MA
• David S Swersky, DMD
• Telecare Global LLC (Telecare Anywhere)

• Prosthetic/Orthotic Supplier in Aspen, CO
• Providers in Aspen, CO by specialty
• Prosthetic/Orthotic Supplier in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.