Footcare Store Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOOTCARE STORE INC

Doing business as

DIA-Foot

Practice address

6316 Lantana Rd
Suite 34
Lake Worth, FL 33463-6679

Phone

(561) 641-2647

Fax

(561) 642-1590

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert M Gaynon, DPM

Title

President

Phone

(561) 641-2647

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DIA-Foot Doing business as

Tax ID family

Foot Care Store LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Foot Care Store, LLC

  dba Diafoot

  • Durable Medical Equipment & Medical Supplies
  • Wellington, FL
  • NPI 1740333061
  NPD tax ID
• Foot Care Store, LLC

  dba Dia-Foot

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1568057057
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert M Gaynor, DPM

  • Podiatrist
  • Wellington, FL
  • NPI 1205864105
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225148018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 LANTANA RD",
            "address_2": "SUITE 34",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636679",
            "telephone_number": "561-641-2647",
            "fax_number": "561-642-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 LANTANA RD",
            "address_2": "SUITE 34",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636679",
            "telephone_number": "561-641-2647",
            "fax_number": "561-642-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTCARE STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAYNON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-641-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME #",
            "identifier": "4036910001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIA-Foot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanne Bridget Flynn
• FNS LLC (Florida Hospitalist Group)
• Roberto Fogel, MD
• Hew Bun Fong
• Jennifer J Fontaine, D.D.S.
• Bryan Ford, DC
• Lidia Forero
• Marie Naomi C Forges Madistin
• Elayne Fiorella Forgie, GERIATRIC CARE MANAG
• Karen Formoso, APRN

• Durable Medical Equipment & Medical Supplies in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.