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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FOOT CARE STORE, LLC
NPI 1568057057
Durable Medical Equipment & Medical Supplies in Las Vegas, NV

Active since March 05, 2021
4840 W UNIVERSITY AVE STE A3, LAS VEGAS, NV 89103(702) 970-7166(702) 478-5463 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, Jan 12, 2026, Mar 5, 2021 (3 updates tracked since 2021).

About Foot Care Store, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOT CARE STORE, LLC (NPI 1568057057), doing business as Dia-foot, is a healthcare organization registered as a durable medical equipment & medical supplies in Las Vegas, Nevada and active in the NPI registry since March 2021. The organization lists Robert Mark Gaynor, Director, as its authorized official.

NPPES Registry Identity

NPI1568057057
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameFOOT CARE STORE, LLC
Location Address4840 W UNIVERSITY AVE STE A3Las Vegas, NV 89103-3829
Mailing Address3281 Fairlane Farms RdWellington, FL 33414-6503 · (615) 721-7063 · Fax (561) 791-9919
Phone(702) 970-7166
Fax(702) 478-5463
Organization SubpartYes
Authorized OfficialRobert Mark GaynorDirector · (156) 186-6338
Enumeration DateMarch 5, 2021
Last NPPES UpdateSeptember 25, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1568057057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4840 W UNIVERSITY AVE STE A3, Las Vegas, NV 89103
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Other Names 1

Doing Business AsDia-foot

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Dia-Foot carries, from the Medicare DMEPOS supplier directory.

Dia-Foot

DMEPOS supplier · Las Vegas, NVOperated by Foot Care Store Inc
✔

Accepts Medicare assignment

Dia-Foot agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20617277
Medicare Participant SinceMarch 23, 2001
Supplier Location4280 W Windmill Ln Ste 111Las Vegas, NV 89139
Phone(702) 970-7166
Provider TypeMedical Supply Company With Pedorthic Personnel

Medicare Product Categories

Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foot Care Store, LLC's NPI number?

The NPI number for Foot Care Store, LLC is 1568057057. It was assigned to this organization in the NPPES registry on March 5, 2021. The provider is doing business as Dia-Foot.

Where is Foot Care Store, LLC located?

Foot Care Store, LLC is located at 4840 W University Ave Ste A3, Las Vegas, NV 89103. The listed phone number is (702) 970-7166.

What is Foot Care Store, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Foot Care Store, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Dia-Foot accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Foot Care Store, LLC was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.