Shivag Diabetic Shoes and Orthotics LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SHIVAG DIABETIC SHOES AND ORTHOTICS LLC

Practice address

3100 Duraleigh Rd Ste 207
Raleigh, NC 27612-8106

Phone

(984) 200-7950

Fax

(984) 200-8370

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Denayswharie Dhanraj

Title

Owner/President

Phone

(984) 200-7950

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Rainey, CPED

  • Pedorthist
  • Raleigh, NC
  • NPI 1114689155
  NPD

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1912465311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD STE 207",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "984-200-7950",
            "fax_number": "984-200-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DURALEIGH RD STE 207",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128106",
            "telephone_number": "984-200-7950",
            "fax_number": "984-200-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVAG DIABETIC SHOES AND ORTHOTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "DHANRAJ",
        "authorized_official_first_name": "DENAYSWHARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "984-200-7950"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Alyssa Shipp, AGNP
• Meagan Shirlen, LCSWA, MSW
• Shelby M Shirley, ANP
• Shailesh Shirolkar, MD
• Shirley Shiu-Moore, LCMHCA, NCC
• Poornima Shivanna
• Janie Shivar, LCSW
• Shoals Gastroenterology, LLC
• Lisa Petronella Shock, PA
• Zhela Shodja

• Customized Equipment (DME) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.