COUNTRYSIDE PEDORTHICS & COBBLER SHOP
NPI 1265611891
Durable Medical Equipment & Medical Supplies in Canterbury, CT

Q: What is Countryside Pedorthics & Cobbler Shop's specialty?

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

Active since October 31, 2007

95 BINGHAM RD, CANTERBURY, CT 06331(860) 546-1099(860) 546-1095 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2021, Aug 15, 2019, Aug 9, 2019 (3 updates tracked since 2019).

On this page

About Countryside Pedorthics & Cobbler Shop NPPES

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

COUNTRYSIDE PEDORTHICS & COBBLER SHOP (NPI 1265611891) is a healthcare organization registered as a durable medical equipment & medical supplies in Canterbury, Connecticut and active in the NPI registry since October 2007. The organization lists Ronald G. Auger, Owner/certified Pedorthist, as its authorized official.

NPPES Registry Identity

NPI1265611891

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameCOUNTRYSIDE PEDORTHICS & COBBLER SHOP

Location Address95 BINGHAM RDCanterbury, CT 06331-1302

Mailing Address95 Bingham RoadCanterbury, CT 06331 · (860) 546-1099 · Fax (860) 546-1095

Phone(860) 546-1099

Fax(860) 546-1095

Organization SubpartNo

Authorized OfficialRonald G. AugerOwner/certified Pedorthist · (860) 546-1099

Enumeration DateOctober 31, 2007

Last NPPES UpdateApril 22, 20213 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1265611891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in CT · 1510

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.

95 BINGHAM RD, Canterbury, CT 06331

Open in Google Maps ↗

Other Identifiers 1

Medicaid004069993CT

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 Countryside Pedorthics & Cobbler Shop's NPI number?

The NPI number for Countryside Pedorthics & Cobbler Shop is 1265611891. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Countryside Pedorthics & Cobbler Shop located?

Countryside Pedorthics & Cobbler Shop is located at 95 Bingham Rd, Canterbury, CT 06331. The listed phone number is (860) 546-1099.

What is Countryside Pedorthics & Cobbler Shop'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 Countryside Pedorthics & Cobbler Shop was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.