BUCKLE MY SHOE, LLC (NPI# 1760631089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760631089 |
| Entity Type | Organization |
| Organization Name | BUCKLE MY SHOE, LLC |
| Other Organization Name | HEAD'S VILLAGE SHOE STORE |
| Practice Address |
4723 E Douglas Ave Wichita KS 67218-1012 |
| Practice Telephone | 3166821821 |
| Practice Fax Number | 3166821005 |
| Mailing Telephone | 3166821821 |
| Mailing Fax Number | 3166821005 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2009-01-20 |
| Authorized Official Name | CYNTHIA LYNN WARREN (MANAGING MEMBER) |
| Authorized Official Telephone | 3166821821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Head's Village Shoe Store | Doing Business As Name - Organization |
| Street Address |
4723 E DOUGLAS AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871715086 | Rhanda Marie M Eboh | Psychiatry & Neurology | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2007-05-03 |
| 1568087153 | Luisa M Taylor | Nurse Practitioner | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2020-06-10 |
| 1528602414 | Valentina Hain | Nurse Practitioner | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2019-11-04 |
| 1649738451 | Wichita Allergy & Asthma Specialists, LLC | Allergy & Immunology | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2019-03-11 |
| 1013441930 | Freestate Health Pllc | Internal Medicine | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2017-04-18 |
| 1659822864 | Libertas Corp. | Emergency Medicine | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2016-10-24 |
| 1912344094 | Hannah Bingham | Internal Medicine | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2013-05-29 |
| 1063618544 | Elisha Navid Yaghmai | Family Medicine | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285292995 | Titan Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1409 W 31st St S, Wichita, KS 67217-2503 | 2019-05-29 |
| 1942767447 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 E Harry St Ste P1, Wichita, KS 67207-5089 | 2019-02-21 |
| 1508339078 | Great Plains Dme, LLC | Durable Medical Equipment & Medical Supplies | 926 W Harry St, Wichita, KS 67213-4109 | 2019-01-08 |
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1922515469 | Auburn Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 5318 W Central Ave, Wichita, KS 67212-2455 | 2018-01-05 |
| 1356860126 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 727 N Waco Ave Ste 560, Wichita, KS 67203-3986 | 2017-09-13 |
| 1215474085 | Case Baldwin Healthcare Systems, Inc. | Durable Medical Equipment & Medical Supplies | 125 S West St Ste 121, Wichita, KS 67213-2114 | 2017-01-31 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1265829055 | Total Solutions Rx, Inc | Durable Medical Equipment & Medical Supplies | 217 S Pattie Ave, Wichita, KS 67211-1720 | 2015-04-20 |
| 1295123131 | St Jude Medical | Durable Medical Equipment & Medical Supplies | 1612 N Rocky Creek Rd, Wichita, KS 67230-1720 | 2014-12-30 |
| Find all providers in WICHITA | ||||
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| 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.