The Footwear Company LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE FOOTWEAR COMPANY LLC

Practice address

3 Cypress Branch Way
Suite 108a
Palm Coast, FL 32164-8409

Phone

(336) 446-4226

Fax

(336) 446-4206

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Frank E Denton, PEDORTHIST

Title

Owner

Phone

(386) 447-0560

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1508089954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CYPRESS BRANCH WAY",
            "address_2": "SUITE 108A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648409",
            "telephone_number": "386-447-0560",
            "fax_number": "386-447-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CYPRESS BRANCH WAY",
            "address_2": "SUITE 108A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648409",
            "telephone_number": "336-446-4226",
            "fax_number": "336-446-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOOTWEAR COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-447-0560",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Ramon Taveras-Cruz, M.D.
• Briahna Danielle Taylor
• Jacqueline Marie Taylor, LMHC
• Joseph Taylor
• Katherine E Taylor
• The Heart Center of Palm Coast, LLC
• The Jacob Dental Group Inc
• Karen Christiane Theilade, MD
• Therapeutic Assisted Living Corp.
• Burton W Thomas III, CAP

• Durable Medical Equipment & Medical Supplies in Palm Coast, FL
• Providers in Palm Coast, 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 Mar 25, 2009; 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.