NPIMap

Organization Active NPI

Shores Medical Compression and Orthotics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Beverly, MA
National Provider Identifier
1922383124
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
C36247 Issued in MA
Legal business name
SHORES MEDICAL COMPRESSION AND ORTHOTICS, LLC
Practice address
100 Cummings Ctr
Suite 106D
Beverly, MA 01915-6115
Phone
(978) 922-1700
Fax
(978) 922-7662
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Brad M Shores, BOCO
Title
Manager
Phone
(978) 922-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X C36247 MA Primary

Addresses

Primary practice location

100 Cummings Ctr
Suite 106D
Beverly, MA 01915-6115

Mailing address

100 Cummings Ctr
Suite 106D
Beverly, MA 01915-6115
Phone (978) 922-1700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1922383124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 106D",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-922-1700",
            "fax_number": "978-922-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR",
            "address_2": "SUITE 106D",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156115",
            "telephone_number": "978-922-1700",
            "fax_number": "978-922-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES MEDICAL COMPRESSION AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "SHORES",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "978-922-1700",
        "authorized_official_credential": "BOCO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "C36247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.