FOOT CARE STORE INC (NPI# 1568057057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568057057 |
| Entity Type | Organization |
| Organization Name | FOOT CARE STORE INC |
| Practice Address | 4280 W Windmill Ln Ste 111 Las Vegas NV 89139-5857 |
| Practice Telephone | 5617217063 |
| Practice Fax Number | 5617919919 |
| Mailing Address | 3281 Fairlane Farms Rd Wellington FL 33414-6503 |
| Mailing Telephone | 6157217063 |
| Mailing Fax Number | 5617919919 |
| Certification Date | 2021-03-05 |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |
| Authorized Official Telephone | 1561866338 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | FOOT CARE STORE INC |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 029761500 | FL | MEDICAID |
| Other Name | Type Code |
|---|---|
| Dia-Foot | Doing Business As Name |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912218504 | Foot Care Store Inc · Dia-Foot | 3281 Fairlane Farms Rd Ste 7, Wellington, FL 33414-6503 | 2010-06-29 | |
| 1740333061 | Foot Care Store Inc · Dia-Foot | 3281 Fairlane Farms Rd Ste 4, Wellington, FL 33414-6503 | 2007-01-19 |
| Street Address | 4280 W WINDMILL LN STE 111 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89139-5857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1922542968 | De Craig Ranch, LLC · Dignity Health-St. Rose Dominican Blue Diamond Campus | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1851847404 | Sports LLC · Fyzical Sports | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
| 1790134179 | Jubert C Aranas LLC · Atlas Dental Group | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
| 1497177612 | Camilya Reshuntae Jasames | Counselor | 5079 W Moberly Ave, Las Vegas, NV 89139 | 2014-01-07 |
| 1366794257 | Anna Liza Mercado | Pharmacist | 7350 S Rainbow Blvd, Las Vegas, NV 89139 | 2012-10-03 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology · Pain Medicine | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1093015612 | Eboni Abah | Behavior Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
| 1669600896 | Min Kyu Kim | Dentist · Orthodontics and Dentofacial Orthopedics | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1790924587 | Visionworks, Inc. · Visionworks | Eyewear Supplier | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| Find all providers in zip 89139 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578156493 | Dignity Select Nevada, LLC | 8675 W Rome Blvd Ste 140, Las Vegas, NV 89149-1291 | 2021-02-12 | |
| 1689266595 | Dme-Z, LLC | 7365 Prairie Falcon Rd Ste 140, Las Vegas, NV 89128-0808 | 2021-02-11 | |
| 1811595622 | Genoa Healthcare, LLC | 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 | 2020-10-14 | |
| 1639793698 | Amador Medical LLC | 4325 Dean Martin Dr Ste 340, Las Vegas, NV 89103-4168 | 2020-06-04 | |
| 1205456001 | Vitality M12 LLC | 4650 Arville St Ste F, Las Vegas, NV 89103-5325 | 2020-04-21 | |
| 1255951059 | Peggy Medical Equipment LLC | 6355 S Durango Dr Unit 1265, Las Vegas, NV 89113-1878 | 2020-04-21 | |
| 1598394801 | Total Medical Equipment LLC | 200 Hoover Ave Unit 1912, Las Vegas, NV 89101-6887 | 2020-04-07 | |
| 1033743083 | Summerlin Medical | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 | |
| 1053959791 | Wound Pros Nevada | 5940 S Rainbow Blvd Ste 2007, Las Vegas, NV 89118-2506 | 2019-12-12 | |
| 1306482906 | Signal Health Group, Dme Services | 3753 Howard Hughes Pkwy Ste 200, Las Vegas, NV 89169-0952 | 2019-11-19 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447427562 | Reality Foot Care LLC · Healthy Feet Store | Clinic/Center | 2921 Lackland Rd, Suite 101, Fort Worth, TX 76116-4173 | 2008-05-08 |
| 1679568919 | M & L Podiatry Pa · Matthews Foot Care Lincoln Foot Care Waxhaw Foot Care Dr Kevin L Killi | Podiatrist | 534 W John St, Ste 100, Matthews, NC 28105-5353 | 2005-09-13 |
| 1588189195 | Tender Loving Foot & Ankle Care · Swfl Mobile Foot Care | Podiatrist | 802 Sw 10th Pl, Cape Coral, FL 33991-4403 | 2017-08-04 |
| 1841397320 | Family Foot and Ankle Care Pllc · 1 Step Ahead Foot Care | Podiatrist | 130 N Evergreen Rd, Suite 102, Louisville, KY 40243-1489 | 2006-09-19 |
| 1093016438 | Susans Total Care Drug Store LLC · Susan's Total Care Drug Store | Durable Medical Equipment & Medical Supplies | 22432 Huron River Dr, Rockwood, MI 48173-1100 | 2010-11-16 |
| 1073557799 | Prime Foot Care, Pllc · Desoto Foot Care | Clinic/Center · Podiatric | 9065 Sandidge Center Cove, Ste C, Olive Branch, MS 38654-3574 | 2006-06-15 |
| 1821278839 | Foot Store LLC | Prosthetic/Orthotic Supplier | 851 E 5th St, Suite 228, Washington, MO 63090-3135 | 2007-11-07 |
| 1831364371 | Foot Store LLC | Durable Medical Equipment & Medical Supplies | 851 E 5th St, Suite 228, Washington, MO 63090-3135 | 2008-04-25 |
| 1487014015 | The Foot Store | Durable Medical Equipment & Medical Supplies | 305 E Euclid Ave, San Antonio, TX 78212-4709 | 2016-02-24 |
| 1255619821 | Village Foot Care PC · Empire Foot Care of The Bronx PC | Podiatrist | 178 E 80th St, 8-A, New York, NY 10075-0450 | 2011-07-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.