Organization provider

PACIFIC FOOTWEAR COMPANY, INC.

Customized Equipment (DME) Prosthetic/Orthotic Supplier Medicare enrolled

PACIFIC FOOTWEAR COMPANY, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1558316851, based in Portland, OR. The organization lists 2 taxonomy classifications, with Customized Equipment (DME) recorded as primary.

Getting there

The practice address on file is 10240 SW NIMBUS AVE SUITE L1, Portland, OR 97223. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10240 SW NIMBUS AVE SUITE L1, Portland, OR 97223 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Dme Supplier - Medical Supply Company With Pedorthic Personnel
PAC ID
5294936407
Enrollment ID
O20100930060696

Medicare enrolment is recorded as approved under the provider type Dme Supplier - Medical Supply Company With Pedorthic Personnel. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Customized Equipment covers

Definition to come... NUCC Health Care Provider Taxonomy, code 332BC3200X
Suppliers Durable Medical Equipment & Medical Supplies Customized Equipment

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
332BC3200X Customized Equipment (DME) Customized Equipment primary
335E00000X Prosthetic/Orthotic Supplier

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1558316851 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 24, 2006
Last updatedApr 22, 2025
StatusActive
Practice address 10240 SW NIMBUS AVE
SUITE L1
Portland, OR 97223
(503) 524-9656
Fax (503) 524-8397
Other identifiers 297988 · Medicaid (OR)
9054784 · Medicaid (WA)
806954600 · Medicaid (ID)
This record was updated on Apr 22, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1558316851 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 5 8 3 1 6 8 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 1 8 6 1 3 8 1

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1558316851?
NPI 1558316851 is the National Provider Identifier assigned to PACIFIC FOOTWEAR COMPANY, INC. in Portland, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Customized Equipment cover?
Definition to come...
How do I contact PACIFIC FOOTWEAR COMPANY, INC.?
The phone number on file with NPPES is (503) 524-9656, last updated Apr 22, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PACIFIC FOOTWEAR COMPANY, INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1558316851 a valid number?
Yes. 1558316851 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.