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NEW BALANCE ST.LOUIS
NPI 1285872614
Durable Medical Equipment & Medical Supplies - Customized Equipment in Saint Louis, MO

Active since January 22, 2009
11633 OLIVE BLVD, SAINT LOUIS, MO 63141(314) 872-2929(314) 872-2926 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Balance St.louis NPPES

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

NEW BALANCE ST.LOUIS (NPI 1285872614) is a healthcare organization registered as a customized equipment in Saint Louis, Missouri and active in the NPI registry since January 2009. The organization lists Jerry Lee Cook, Certified Pedorthist, as its authorized official.

NPPES Registry Identity

NPI1285872614
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameNEW BALANCE ST.LOUIS
Location Address11633 OLIVE BLVDSaint Louis, MO 63141-7001
Mailing Address11633 Olive BlvdSaint Louis, MO 63141-7001 · (314) 872-2929 · Fax (314) 872-2926
Phone(314) 872-2929
Fax(314) 872-2926
Organization SubpartYesParent: Brown's Enterprises Inc
Authorized OfficialJerry Lee CookCertified Pedorthist · (314) 872-2929
Enumeration DateJanuary 22, 2009
Last NPPES UpdateMay 19, 2010
✔ NPI 1285872614 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
License✔ Licensed in MO · B00029005
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License B00029005 (MO)
11633 OLIVE BLVD, Saint Louis, MO 63141
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Other Identifiers 1

Medicare NSC0510770004

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 New Balance St.Louis's NPI number?

The NPI number for New Balance St.Louis is 1285872614. It was assigned to this organization in the NPPES registry on January 22, 2009.

Where is New Balance St.Louis located?

New Balance St.Louis is located at 11633 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (314) 872-2929.

What is New Balance St.Louis'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 New Balance St.Louis was last updated on May 19, 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.