BUCKLE MY SHOE LLC NPI 1760631089

NPI Information

  • NPI: 1760631089
  • Provider Name: BUCKLE MY SHOE, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: HEAD'S VILLAGE SHOE STORE
  • Address: 4723 E DOUGLAS AVE
    WICHITA, KS
    ZIP 67218
  • Phone: (316) 682-1821

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NPI Details

BUCKLE MY SHOE, LLC is a durable medical equipment medical supplies in Wichita, KS. The provider is 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. BUCKLE MY SHOE, LLC NPI is 1760631089. The provider is registered as an organization entity type.
The provider Is Doing Business As Head's Village Shoe Store.

The provider's business location address is:

4723 E DOUGLAS AVE
WICHITA, KS
ZIP 67218-012
Phone: (316) 682-1821
Fax: (316) 682-1005

The provider's authorized official is Cynthia Lynn Warren .
The authorized official title is Managing Member and has the following contact phone number (316) 682-1821.

The enumeration date for this NPI number is 9/10/2008 and was last updated on 1/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteNo
2335E00000XProsthetic/Orthotic SupplierNo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15554540001MEDICARE NSCKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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