Barts Shoe Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BARTS SHOE CORP

Doing business as

Jays Wide Shoes

Practice address

4037 SW 117TH Ave
Suite J
Beaverton, OR 97005-8900

Phone

(503) 627-0113

Fax

(503) 574-2813

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alan Barthold, C-PED

Title

Owner

Phone

(503) 641-5199

Specialties & licenses 1

Addresses

Other names 1

• Jays Wide Shoes Doing business as

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1932375672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 SW 117TH AVE",
            "address_2": "SUITE J",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058900",
            "telephone_number": "503-627-0113",
            "fax_number": "503-574-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 SW 117TH AVE",
            "address_2": "SUITE J",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970058900",
            "telephone_number": "503-627-0113",
            "fax_number": "503-574-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTS SHOE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BARTHOLD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-641-5199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C-PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jays Wide Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josephine Love Bartlett, BSW
• Nicholas Barto
• Alec Michael Oscar Barton
• Jessica Barton, RDH
• Sierra Linn Barton
• Alexandra Basauri
• Base Behavioral Health LLC
• Amany Bashir, MD
• Alejandre Nicte Bassi
• Rachel Chandler Bateman

• Durable Medical Equipment & Medical Supplies in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.