2ND SOLE-CUSTOM SHOES & ORTHOTICS, INC
NPI 1841321403
Durable Medical Equipment & Medical Supplies - Customized Equipment in Paradise, CA

Q: What is 2nd Sole-Custom Shoes & Orthotics, Inc's specialty?

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

Active since March 08, 2007

5923 CLARK RD, SUITE C, PARADISE, CA 95969(530) 872-3710(530) 872-7234 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About 2nd Sole-custom Shoes & Orthotics, Inc NPPES

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

2ND SOLE-CUSTOM SHOES & ORTHOTICS, INC (NPI 1841321403) is a healthcare organization registered as a customized equipment in Paradise, California and active in the NPI registry since March 2007. The organization lists Brady Benjamin Elliott, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1841321403

Entity TypeOrganization

Primary Taxonomy332BC3200X

Legal Business Name2ND SOLE-CUSTOM SHOES & ORTHOTICS, INC

Location Address5923 CLARK RD, SUITE CParadise, CA 95969-4866

Mailing Address5923 Clark Rd, Suite CParadise, CA 95969-4866 · (530) 872-3710 · Fax (530) 872-7234

Phone(530) 872-3710

Fax(530) 872-7234

Organization SubpartNo

Authorized OfficialBrady Benjamin ElliottVice-president · (530) 872-3710

Enumeration DateMarch 8, 2007

Last NPPES UpdateJanuary 5, 2015

✔ NPI 1841321403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers

Taxonomy Code332BC3200X

5923 CLARK RD, Paradise, CA 95969

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Other Identifiers 1

Medicare NSC5383050001CA

Other Providers at the Same Location NPPES

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

MR. BRADY BENJAMIN ELLIOTT CPED, CFO

Pedorthist

5923 CLARK RD, STE C
PARADISE, CA 95969

Butte County (530) 872-3710

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 2nd Sole-Custom Shoes & Orthotics, Inc's NPI number?

The NPI number for 2nd Sole-Custom Shoes & Orthotics, Inc is 1841321403. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is 2nd Sole-Custom Shoes & Orthotics, Inc located?

2nd Sole-Custom Shoes & Orthotics, Inc is located at 5923 Clark Rd Suite C, Paradise, CA 95969. The listed phone number is (530) 872-3710.

What is 2nd Sole-Custom Shoes & Orthotics, 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 2nd Sole-Custom Shoes & Orthotics, Inc was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.