Jackrabbit Shoes and Orthotics, Inc.
NPI 1982903720 · Prosthetic/Orthotic Supplier · Benicia, CA
Enrolled with Medicare as Dme Supplier - Pedorthic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackrabbit Shoes and Orthotics, Inc. is a Prosthetic/Orthotic Supplier organization in Benicia, CA (NPI 1982903720).
Provider details
- NPI number
- 1982903720
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Dale Sovak, Owner(707) 751-1630
- License
- CPED 2916 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-03-18
- Last updated
- 2011-03-18
Frequently asked questions
- What is Jackrabbit Shoes and Orthotics, Inc.'s NPI number?
- Jackrabbit Shoes and Orthotics, Inc.'s National Provider Identifier (NPI) is 1982903720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackrabbit Shoes and Orthotics, Inc.?
- Jackrabbit Shoes and Orthotics, Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Jackrabbit Shoes and Orthotics, Inc. located?
- Jackrabbit Shoes and Orthotics, Inc.'s practice location on file with NPPES is 4576 E 2nd St, Benicia, CA 94510-1046.
- What is Jackrabbit Shoes and Orthotics, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jackrabbit Shoes and Orthotics, Inc. is (707) 751-1630.
- Does Jackrabbit Shoes and Orthotics, Inc. accept Medicare?
- Jackrabbit Shoes and Orthotics, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jackrabbit Shoes and Orthotics, Inc.?
- The authorized official listed on Jackrabbit Shoes and Orthotics, Inc.'s NPPES record is Dale Sovak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackrabbit Shoes and Orthotics, Inc.'s NPI active?
- Yes — Jackrabbit Shoes and Orthotics, Inc.'s NPI (1982903720) is active in the NPPES registry as of the last update on 2011-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.