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Modern Shoe, Inc.

Durable Medical Equipment & Medical Supplies in Provo, UT · enumerated 2007 · authorized official Anthony Thomas, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225219587

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Shoe, Inc.
Practice address 350 W Center St, Provo, UT, 84601
Fax (801) 371-0060
Enumeration date Nov 15, 2007
Last updated in NPPES May 28, 2010

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Anthony Thomas
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-05-28. Verify at npiregistry.cms.hhs.gov.
Where is Modern Shoe, Inc. located?
The practice location on file with NPPES is in Provo, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-28.