Diabetic Supply Institute Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DIABETIC SUPPLY INSTITUTE INC

Practice address

20905 Torrence Chapel Rd
Suite 203B
Cornelius, NC 28031-4300

Phone

(800) 780-7081

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Thomas Joseph Mini

Title

President

Phone

(800) 780-7081

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1003809328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 TORRENCE CHAPEL ROAD",
            "address_2": "SUITE 203B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "28031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 TORRENCE CHAPEL RD",
            "address_2": "SUITE 203B",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314300",
            "telephone_number": "800-780-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLY INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "MINI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-780-7081"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703102",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1096",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Der
• Madalyn Marie Derrick, LCSW
• Suresh Jayantha Desilva, MD
• Stacey E Devine, M.D.
• Diabetic Special Care
• Diabetic Support Services, Inc.
• Brittany Nicole Diaconu
• Teresa Dillard, LMFT
• Christina Dishmond, NP
• Divine Haven Inc

• Durable Medical Equipment & Medical Supplies in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.