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PACIFIC FOOTWEAR COMPANY, INC.
NPI 1104148741
Durable Medical Equipment & Medical Supplies - Customized Equipment in Peoria, AZ

Active since February 24, 2010
13660 N 94TH DR, SUITE F-2, PEORIA, AZ 85381(623) 302-9396(623) 302-9397 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pacific Footwear Company, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC FOOTWEAR COMPANY, INC. (NPI 1104148741), doing business as Priority Footwear & Pedorthic Services, is a healthcare organization registered as a customized equipment in Peoria, Arizona and active in the NPI registry since February 2010. The organization lists Kevin W Clarke, President, as its authorized official.

NPPES Registry Identity

NPI1104148741
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NamePACIFIC FOOTWEAR COMPANY, INC.
Location Address13660 N 94TH DR, SUITE F-2Peoria, AZ 85381-4836
Mailing Address10240 Sw Nimbus Ave, Suite L1Portland, OR 97223-4358 · (503) 524-9656 · Fax (503) 524-8397
Phone(623) 302-9396
Fax(623) 302-9397
Organization SubpartNo
Authorized OfficialKevin W ClarkePresident · (503) 524-9656
Enumeration DateFebruary 24, 2010
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1104148741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
13660 N 94TH DR, Peoria, AZ 85381
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Other Names 1

Doing Business AsPriority Footwear & Pedorthic Services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY C KLEIMAN DMD PC
Clinic/Center (Dental)
13660 N 94TH DR, E-3
PEORIA, AZ 85381
Maricopa County (623) 974-4799
JC DENTAL DREAM CONSULTING LLC
Clinic/Center (Dental)
13660 N 94TH DR
PEORIA, AZ 85381
Maricopa County (623) 974-4799
KEITH THOMAS BANGART DPM
Podiatrist
13660 N 94TH DR, #F1
PEORIA, AZ 85381
Maricopa County (623) 974-0522
SUNSHINE HEALTH CARE CENTER
Naturopath
13660 N 94TH DR, SUITE C4
PEORIA, AZ 85381
Maricopa County (623) 266-1722
MARGARET A. WITHROW, DPM, PC
Podiatrist (Foot & Ankle Surgery)
13660 N 94TH DR, STE A-3
PEORIA, AZ 85381
Maricopa County (623) 933-4645
J BARTON RIPPERGER DPM
Podiatrist
13660 N 94TH DR, SUITE E1
PEORIA, AZ 85381
Maricopa County (623) 933-5787
GALAXY ANESTHESIA SERVICES, LLC
Anesthesiology
13660 N 94TH DR, D-1
PEORIA, AZ 85381
Maricopa County (623) 230-2912
DR. JEFFREY C KLEIMAN DMD
Dentist (General Practice)
13660 N 94TH DR, STE E3
PEORIA, AZ 85381
Maricopa County (623) 974-4799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Footwear Company, Inc.'s NPI number?

The NPI number for Pacific Footwear Company, Inc. is 1104148741. It was assigned to this organization in the NPPES registry on February 24, 2010. The provider is doing business as Priority Footwear & Pedorthic Services.

Where is Pacific Footwear Company, Inc. located?

Pacific Footwear Company, Inc. is located at 13660 N 94th Dr Suite F-2, Peoria, AZ 85381. The listed phone number is (623) 302-9396.

What is Pacific Footwear Company, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Pacific Footwear Company, Inc. was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.