SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC (NPI# 1356965404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356965404 |
| Entity Type | Organization |
| Organization Name | SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC |
| Practice Address |
4901 W Reno Ave Ste 800 Oklahoma City OK 73127-6398 |
| Mailing Address |
1899 Saddleback Blvd Apt 10 Norman OK 73072-2857 |
| Practice Telephone | 4056319731 |
| Practice Fax Number | 4056349717 |
| Mailing Telephone | 4054128621 |
| Mailing Fax Number | 4056349717 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | SANJUANA ROGACIANA CABALLERO (OWNER) |
| Authorized Official Telephone | 4054128621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Loveless Shoes | Doing Business As Name - Organization |
| Street Address |
4901 W RENO AVE STE 800 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73127-6398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
| 1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
| 1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
| 1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
| 1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1306068432 | Emerald Square Assisted Living, LLC | Assisted Living Facility | 701 North Council Road, Oklahoma City, OK 73127 | 2007-05-02 |
| 1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
| 1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
| 1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
| Find all providers in zip 73127 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245771393 | Kyle Russell | Pedorthist | 921 Ne 13th St, Prosthetics Department, Oklahoma City, OK 73104-5007 | 2017-03-09 |
| 1578913158 | Seth Demuth | Pedorthist | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619528627 | Kristin Dee Cline | Pedorthist | 6565 S Yale Ave Ste 909, Tulsa, OK 74136-8310 | 2019-09-23 |
| 1083109250 | James Matthew Hudson | Pedorthist | 924 Nw 38th St, Lawton, OK 73505-3703 | 2018-06-28 |
| 1326359316 | Daniel Ray Brooks | Pedorthist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2010-06-24 |
| City | OKLAHOMA CITY |
| Zip Code | 73127 |
Please comment or provide details below to improve the information on SANJUANA CABALLERO D B A LOVELESS SHOES INC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.