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SHAWNEE PEDORTHIC SERVICE, INC.
NPI 1922106509
Durable Medical Equipment & Medical Supplies - Customized Equipment in Shawnee, OK

Active since September 20, 2006
1510 N KICKAPOO AVE, SUITE 11, SHAWNEE, OK 74804(405) 275-1996(405) 275-0809 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shawnee Pedorthic Service, Inc. NPPES

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

SHAWNEE PEDORTHIC SERVICE, INC. (NPI 1922106509) is a healthcare organization registered as a customized equipment in Shawnee, Oklahoma and active in the NPI registry since September 2006. The organization lists Linda S Kriwanek, Owner, Secretary Of Corp., as its authorized official.

NPPES Registry Identity

NPI1922106509
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSHAWNEE PEDORTHIC SERVICE, INC.
Location Address1510 N KICKAPOO AVE, SUITE 11Shawnee, OK 74804-4331
Mailing Address1510 N Kickapoo Ave, Suite 11Shawnee, OK 74804-4331 · (405) 275-1996 · Fax (405) 275-0809
Phone(405) 275-1996
Fax(405) 275-0809
Organization SubpartNo
Authorized OfficialLinda S KriwanekOwner, Secretary Of Corp. · (405) 275-1996
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1922106509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in OK · 16
1510 N KICKAPOO AVE, Shawnee, OK 74804
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Other Identifiers 3

Other731580812001OK · Bluecross Blueshield Pin
Medicaid100808590 AOK
Medicare ID-Type Unspecified5519250001OK · Medicare Provider Number

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 Shawnee Pedorthic Service, Inc.'s NPI number?

The NPI number for Shawnee Pedorthic Service, Inc. is 1922106509. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Shawnee Pedorthic Service, Inc. located?

Shawnee Pedorthic Service, Inc. is located at 1510 N Kickapoo Ave Suite 11, Shawnee, OK 74804. The listed phone number is (405) 275-1996.

What is Shawnee Pedorthic Service, 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 Shawnee Pedorthic Service, Inc. was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.