MODERN SHOE, INC.
NPI 1225219587
Durable Medical Equipment & Medical Supplies in Provo, UT

Active since November 15, 2007
350 W CENTER ST, PROVO, UT 84601(801) 375-2711(801) 371-0060 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Shoe, Inc. NPPES

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

MODERN SHOE, INC. (NPI 1225219587) is a healthcare organization registered as a durable medical equipment & medical supplies in Provo, Utah and active in the NPI registry since November 2007. The organization lists Anthony C Thomas, President, as its authorized official.

NPPES Registry Identity

NPI1225219587
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMODERN SHOE, INC.
Location Address350 W CENTER STProvo, UT 84601-4323
Mailing Address350 W Center StProvo, UT 84601-4323 · (801) 375-2711 · Fax (801) 371-0060
Fax(801) 371-0060
Organization SubpartNo
Authorized OfficialAnthony C ThomasPresident · (801) 375-2711
Enumeration DateNovember 15, 2007
Last NPPES UpdateMay 28, 2010
NPI 1225219587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
350 W CENTER ST, Provo, UT 84601

Other Identifiers 1

Medicare NSC6339340001

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 Modern Shoe, Inc.'s NPI number?

The NPI number for Modern Shoe, Inc. is 1225219587. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Modern Shoe, Inc. located?

Modern Shoe, Inc. is located at 350 W Center St, Provo, UT 84601. The listed phone number is (801) 375-2711.

What is Modern Shoe, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Modern Shoe, Inc. was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.