NPIMap

Organization Active NPI

Gentle Footcare LLC

  • Durable Medical Equipment & Medical Supplies
  • Kenton, OH
National Provider Identifier
1942684014
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENTLE FOOTCARE LLC
Practice address
900 E Franklin St Ste 2170
Kenton, OH 43326-2170
Phone
(419) 675-3668
Fax
(419) 675-2237
NPI assigned
Jul 17, 2015
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Jeffrey S Wilson, DPMNPI 1972522068
Title
Authorized Official
Phone
(614) 239-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36.002880 OH
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

900 E Franklin St Ste 2170
Kenton, OH 43326-2170

Mailing address

PO Box 27940
Columbus, OH 43227-0940
Phone (614) 239-9444

Other names 1

  • Gentle Foot Care Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031217000149 OH Part B Supplier - Clinic/Group Practice 0345152955 Receives reassigned benefits from 28 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenton, OH; Youngstown, OH; Warren, OH; Urbana, OH; Sylvania, OH; Newark, OH; Mount Vernon, OH; Marysville, OH…
O20200513003097 OH DME Supplier - Physician - Podiatry 0345152955 Practice locations: Kenton, OH

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 17

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

900 E Franklin St
Ste 2170
Kenton, OH 43326
Phone (419) 675-3668

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1942684014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27940",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432270940",
            "telephone_number": "614-239-9444",
            "fax_number": "614-239-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E FRANKLIN ST STE 2170",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262170",
            "telephone_number": "419-675-3668",
            "fax_number": "419-675-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FOOTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "614-239-9444",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.002880",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Foot Care Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.