Foot Care Store, LLC
NPI 1568057057 · Durable Medical Equipment & Medical Supplies · Las Vegas, NV
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Pedorthic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Foot Care Store, LLC is a Durable Medical Equipment & Medical Supplies organization in Las Vegas, NV (NPI 1568057057).
Provider details
- NPI number
- 1568057057
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Foot Care Store, LLC
- Organization subpart
- Yes
- Authorized official
- Robert Gaynor, Director(156) 186-6338
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dia-Foot
Registry dates
- Enumerated
- 2021-03-05
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Frequently asked questions
- What is Foot Care Store, LLC's NPI number?
- Foot Care Store, LLC's National Provider Identifier (NPI) is 1568057057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Foot Care Store, LLC?
- Foot Care Store, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Foot Care Store, LLC located?
- Foot Care Store, LLC's practice location on file with NPPES is 4280 W Windmill Ln Ste 111, Las Vegas, NV 89139-5857.
- What is Foot Care Store, LLC's phone number?
- The practice phone number listed in the NPPES registry for Foot Care Store, LLC is (561) 721-7063.
- Does Foot Care Store, LLC accept Medicare?
- Foot Care Store, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Foot Care Store, LLC?
- The authorized official listed on Foot Care Store, LLC's NPPES record is Robert Gaynor, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Foot Care Store, LLC's NPI active?
- Yes — Foot Care Store, LLC's NPI (1568057057) is active in the NPPES registry as of the last update on 2026-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.