Organization Active NPI

Emerald Coast Ventures Inc

Doing business as The Good Feet Store

  • Durable Medical Equipment & Medical Supplies
  • Panama City, FL
National Provider Identifier
1275797029
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EMERALD COAST VENTURES INC
Doing business as
The Good Feet Store
Practice address
251 W 15TH St
Panama City, FL 32401-2230
Phone
(850) 215-3338
Fax
(850) 215-2639
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Mr. James Grady Dutton Jr.
Title
President
Phone
(850) 215-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

251 W 15TH St
Panama City, FL 32401-2230

Mailing address

251 W 15TH St
Panama City, FL 32401-2230
Phone (850) 215-3338

Other names 1

  • The Good Feet Store Doing business as

National Provider Directory

National Provider Directory

Locations

251 W 15th St
Panama City, FL 32401
Phone (850) 215-3338

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1275797029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012230",
            "telephone_number": "850-215-3338",
            "fax_number": "850-215-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012230",
            "telephone_number": "850-215-3338",
            "fax_number": "850-215-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GRADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-215-3338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Good Feet Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.